Patient Access Representative

Definition of Position The Patient Access Representative is responsible for ensuring the efficient flow in the daily operations, providing customer service on phones, completing outpatient registrations, pre-registration of admissions, collecting payments/co-payments, verifying insurance coverage, filing all paperwork into patient chart, correctly taking messages and ensuring their timely delivery, communicating with insurance companies to obtain or verify authorization of care and medical necessity information. Overview This is a Per Diem position. Hourly Rate: Min: $21.33 Max: $32.67 Responsibilities Collect patient demographic and insurance information, then accurately key this information into the electronic patient record systems, completing outpatient registrations. Correctly take messages by phone, ensuring all necessary information is gathered and documented following departmental guidelines, and ensure that the messages are delivered in a timely manner. Scan in patient insurance benefit, patient liability estimate, and authorization information into electronic health record daily. Provide courteous and professional customer service via phone (within 3 rings), assisting patients and providers as needed. Collect Co-pay or Co-insurance to appropriate accounts. Communicate with insurance companies to obtain or verify authorization of care. Secure medical necessity checks/verification in accordance with Centers for Medicare & Medicaid Services, verify insurance benefits, coverage & eligibility, complete assigned registration work lists activities, obtain/verify insurance authorizations for scheduled & unscheduled hospital services, and secure inpatient visit notification to payors. Thoroughly explain and secure hospital & patient legal forms (i.e., Advance Directives, Conditions of admissions, Important Message from Medicare, EMTALA, etc.). Scan protected health information, create and file patient information packets/folders for hospital services. Assist with scheduling diagnostic procedures. The employee supports the hospital mission, vision, values, policies, and procedures. Participate in required education for DNV programs as applicable to position (reference program education curriculum). Perform other related duties as assigned. Qualifications Minimum: 2 Years Hospital Collection Experience (Preferred). Bilingual and/or English/Spanish speaking (Preferred). Ability to work with culturally diverse population. Education Required: High School Diploma or equivalent. Copy of HS Diploma/GED must be provided upon hire. Licenses / Certifications / Registrations Required: NA. Preferred: NA. Experience Required: NA. Preferred: NA. Other NA Physical Requirements Prolonged periods of sitting at a desk and working on a computer. Occasional walking, standing, bending, or lifting light office items (up to 25 pounds). Visual acuity to view computer screens and read detailed financial documents. Ability to communicate effectively in person, by phone, and electronically. May be required to move throughout the healthcare facility, including administrative and clinical areas. Working Conditions This position operates in a professional office setting within a healthcare facility. The role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The office environment is climate‑controlled, well‑lit, and ergonomically designed for extended computer work. While this role is primarily office‑based and does not involve direct patient care, the employee may occasionally be present in clinical areas or interact with staff working in clinical environments. As such, there is a potential for exposure to infectious diseases. The organization provides appropriate training and personal protective equipment (PPE) as needed to ensure safety. #J-18808-Ljbffr Good Shepherd Health Care System