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Patient Access Representative

Support departmental efficiencies through scheduling, registration, patient pre-admission, admission, reception, and discharge functions. Obtain complete and accurate patient demographic information. Employ compliant patient liability collection techniques before, during, and after the date of service.

Essential Duties and Responsibilities:

• Greet patients with world-class customer service and complete full registration at the time of service.
• Adhere to financial and cash control policies, explain and secure legal forms such as Advance Directives, Conditions of Admission, Consent for Treatment, Important Message from Medicare, and EMTALA.
• Scan Protected Health Information and create patient information packets for upcoming services.
• Assist with scheduling diagnostic procedures, enter data in the scheduling system, and provide appointment instructions.
• Educate patients on financial liabilities and collect payments using proper, compliant techniques.
• Perform hospital cash reconciliation and secure payment entry.
• Verify medical necessity per Centers for Medicare & Medicaid Services guidelines.
• Verify insurance benefits, coverage, and eligibility.
• Complete registration financial clearance worklists and obtain authorizations for scheduled and unscheduled services.
• Secure inpatient visit notifications to payors and coordinate post-discharge care.

Knowledge, Skills, and Abilities:

• Minimum typing speed of 35 wpm.
• Working knowledge of PC, CRT, and printer.
• Knowledge of hospital environment functions and relationships preferred.
• Strong customer service skills and experience.
• Ability to thrive in a fast-paced environment.
• Excellent oral and written communication skills for detailed information.
• Understanding of third-party payor requirements and compliance standards preferred.
• Proficiency in at least two Patient Access service areas, including the Emergency Department.
• Skilled in professional negotiation for patient collections.
• Ability to build collaborative relationships with internal and external stakeholders for improved communication, productivity, and accuracy.
• Ability to interpret physician orders, medical terminology, and insurance cards.

Education and Experience:

• High School Diploma or GED required.
• 0-1 year in a customer service role.
• 0-1 year administrative experience in a medical facility, health insurance, or related area preferred.
• Some college coursework preferred.
• Physical Demands and Work Environment
• Sit at a computer terminal for extended periods.
• Frequent standing, sitting, walking, and occasional lifting up to 25 lbs.
• Occasionally push wheelchairs to assist patients.
• Resolve issues with physicians' offices and patients, including high volumes and uncooperative individuals.
• Work in hospital administration and patient care areas with potential exposure to life-threatening conditions.
• Flexible availability based on departmental needs.

Additional Requirements:

• Vaccinations and screenings required as permitted by law (e.g., COVID-19, influenza). No security clearance, visa candidates, travel, relocation, commission, bonus, or overtime eligibility.