Patient Access Representative

Patient Access Representative

Education & Experience Required:

• High school diploma/GED

Certifications, Licenses Or Registration Required:

• N/A

Knowledge, Skills & Abilities:

• Basic knowledge of patient throughput workflows and regulations
• Proficient in revenue cycle healthcare systems
• Ability to maintain confidentiality
• Demonstrated analytical skills to discover root cause of errors and properly correct
• Good verbal and written communication skills
• Maintains professional standards
• Effective organizational skills
• Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry

Responsibilities:

• Greet and assist patients, families, and visitors with professionalism, empathy, and a sense of urgency.
• Complete timely and accurate patient registration, including collection and verification of demographic, insurance, and financial information.
• Obtain necessary patient signatures on consent forms, privacy notices, and financial documents, ensuring compliance with hospital and legal requirements.
• Verify insurance eligibility and benefits using electronic tools or direct contact with payers, and update records accordingly.
• Determine and collect patient co-pays, deductibles, or deposits as appropriate; provide information about financial assistance programs when needed.
• Collaborate with clinical and security teams to prioritize patient intake based on acuity and maintain efficient patient flow.
• Accurately enter and maintain patient data in the electronic medical record (EMR) and registration systems, correcting duplicate records or errors as necessary.
• Respond promptly and courteously to patient and family inquiries, demonstrating sensitivity to diverse situations and emotional states.
• Stay informed on payer guidelines and hospital policies protocols to ensure compliance and accuracy.
• Support process improvements and assist in training new staff when applicable; provide backup assistance to other Patient Access areas during high-volume periods.
• Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.

Physical and Environmental Demands:

• Occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold
• Occasional handling or working with potentially dangerous equipment
• Occasional working hours beyond regularly scheduled hours
• Occasional travelling to offsite locations
• No activities subject to significant volume changes of a seasonal/clinical nature
• Occasional work produced is subject to precise measures of quantity and quality
• Occasional bending
• Occasional lifting/carrying up to 10 pounds
• Occasional lifting/carrying up to 25 pounds
• Occasional lifting/carrying up to 50 pounds
• Occasional lifting/carrying up to 75 pounds
• Occasional lifting/carrying up to 100 pounds
• No lifting/carrying 100 pounds or more
• No climbing
• No crawling
• Occasional crouching/stooping
• Occasional driving
• Occasional kneeling
• Occasional pushing/pulling
• Frequent reaching
• Frequent sitting
• Frequent standing
• Occasional twisting
• Frequent walking

Time Type: Full time

FLSA Designation/Job Exempt: No

FTE %: 100

Work Shift: Day

Benefits Eligibility: Grant Funded: No