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.

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.

Additional Information

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

• 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

• High School diploma preferred.
• 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.