Patient Access Representative (Full Time/Evenings)

About the role

The Patient Access Representative (PAR) at Pipeline Health is the initial point of contact for patients and visitors. Key responsibilities include gathering patient information, verifying insurance eligibility, scheduling appointments, handling payments, updating records, and providing information.

Responsibilities

• Greet patients, visitors, and caregivers upon arrival.
• Collect patient information, including demographic data, insurance information, and medical history.
• Verify patient insurance eligibility and benefits.
• Schedules appointments.
• Responds to patient and caregivers' inquiries about routine and sensitive topics.
• Collects copayments and other payments from patients.
• Identifies outstanding balances from previous visits and attempts to collect any amount due.
• Updates patient records and files.
• Answers telephones and directs calls to appropriate staff and departments.
• Provides information such as directions, visiting hours, or patient status information.
• Receives and routes messages or documents, such as laboratory results, to appropriate staff.
• Transmits correspondence or medical records by mail, e-mail, or fax.
• Uses clear, concise, professional communication with coworkers, patients, all customers internal and external.
• Uses AIDET in interactions with patients and family members.
• Acts with a sense of urgency when performing tasks.
• Completes and attends monthly training assigned.
• May float to other areas of the hospital as needed.

Requirements

• At least one (1) year of experience in customer service.
• At least one (1) year of experience working in the healthcare setting preferred.
• Adaptable to changing work schedules and patient needs.
• Prior experience collecting financial payments and understanding insurance a plus.
• Critical thinking, service excellence, and good interpersonal communication skills.
• Ability to read, write, and comprehend medical terminology.
• Strong organizational skills, ability to follow verbal instructions, and PC (computer) skills.
• A capacity to learn, synthesize, make critical judgments, work independently, place patients and families first, and collaborate with the team members who are recognized leaders within healthcare.

Qualifications

• Basic unit/department maintenance such as keeping files, drawers, cabinets free from unnecessary clutter.
• Reports on any equipment and or environmental issues for repair.
• Abides by HIPAA (Health Insurance Portability and Accountability Act) regulations.
• Speaks up to stop the line and escalates potential safety events if necessary.

Skills

• Understanding of Insurance policies and procedures.
• Bilingual in English and Spanish preferred; speak, read and write proficiently in English with the ability to speak and interact in Spanish as needed.

Benefits

Not specified.

Pay

TBD.

Schedule

Full Time: 5 shifts per week, weekend availability required.