Patient Access Representative

Location: Dallas – Hospital (PRN, as needed, Monday – Friday 8:00 am – 5:00 pm)

Responsibilities

• Manage a high volume of incoming and outgoing telephone calls.
• Complete assigned workqueues.
• Accurately schedule and re‑schedule patient appointments in a timely manner.
• Effectively communicate and coordinate patient appointments with downstream departments.
• Contact families to verify information, insurance coverage, explain benefit eligibility, and refer families to financial counselors for enrollment in financial assistance.
• Accurately pre‑register specific data elements prior to the patient’s scheduled date of service.
• Perform all aspects of insurance verifications.
• Add insurance coverage and update the billing system to reflect the patient’s insurance status.
• Obtain authorizations and pre‑certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review.
• Handle all correspondence from insurance companies and forward to HIM for scanning.
• Provide clerical and administrative support as required.
• Create reports for tracking and trending purposes.
• Alter provider schedule template in the electronic medical record (EMR).
• Assist with departmental coverage as requested.

Requirements

• High school education or equivalent.
• Preferred: 2 years working in a medical office setting.
• Preferred: Experience in insurance procedures.
• Preferred: Experience in medical appointment scheduling.

Work Environment

Working conditions: indoor environment. Position involves sitting, standing, and walking. Physical demands are light, including lifting/carrying 11–24 lb, repetitive movement, stooping/kneeling/bending. Sensory/communicative activities include feeling, hearing, seeing, speaking. Exposure to loud noise.