Patient Access Representative

About the role

Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions. Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process. Provides a positive first impression of the facility. Reports to the Director or Manager of Department.

Responsibilities

• Ensures all required demographic, billing, and clinical data are obtained and accurately entered into the registration system in a timely manner.
• Distributes and explains forms, documents, and educational handouts to patients and families.
• Verifies insurance benefits and obtains precertification/authorization as necessary.
• Determines and accepts required payments (e.g., co-pays, deductibles) or refers to financial counseling as appropriate.
• Communicates professionally in-person and by phone; provides clear instructions and excellent customer service.
• Protects patient privacy and confidentiality in all registration activities.
• Participates in performance improvement and required education.
• Works alternate shifts/areas as needed to support department operations.
• Performs other duties as assigned.

Populations Served

Does not treat or provide clinical care to patients.

Protected Health Information Accessed

Demographic, Insurance, Financial.

Exposure

Occupational exposure to bloodborne pathogens may be present.

Physical Requirements

Typical: Frequent keyboard data entry, sitting, audible speech and hearing; frequent reaching and repetitive hand/arm movements; occasional walking, standing, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing, kneeling, running, and higher-force tasks. Vision demands include near/far vision and depth perception (constant), color distinction (constant); smell and taste rarely required. Occasional exposure to biological and rare exposure to chemical hazards (e.g., dust, gases/vapors/fumes); latex exposure rare.

Requirements

• Applicants should have a current state RN license and possess a bachelor's degree from an accredited nursing school.
• Basic Life Support certification is required within 30 days of hire.
• ACLS and PALS are required within six months of hire.
• One year of experience preferred.
• ASLS certification preferred.

Education

High School diploma

Skills

• Critical thinking, decisive judgment, and ability to work with minimal supervision in a fast-paced environment.
• Rapid learning and navigation of multiple software systems.
• Effective English communication (read, write, speak, and understand).
• Ability to complete the Skills Competency Checklist within 90 days of hire.

Schedule

7:00 a.m. – 7:00 p.m., Saturdays and Sundays. Ideally, this position will work every weekend per month; however, an every-other-weekend or three weekends per month schedule may be considered.

Benefits

• On Demand Wellness Program
• Financial & Career Growth: 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.