Access Management Representative

Access Management Representative

This role involves interviewing patients or their representatives to gather essential personal, financial, and demographic details. You will prepare patient records and enter data into computer systems, verify insurance coverage, and ensure all necessary forms are completed and signed. Collecting co-payments, deductibles, and other payments is part of the daily routine, along with balancing payment sheets and routing patient information to relevant departments. A strong commitment to excellence and adherence to departmental standards is essential.

Key Responsibilities

• Maintain a safe and clean work environment, including compliance with safety and infection control protocols.
• Exhibit excellent interpersonal skills when interacting with coworkers, staff, patients, physicians, and the public.
• Conduct patient interviews and accurately enter comprehensive information into computer systems, securing all required signatures and financial data to protect reimbursement.
• Perform special duties as assigned to support departmental needs.
• Assume cashiering duties during after-hours and weekends.
• Verify insurance eligibility and benefits promptly, obtaining pre-authorizations from third-party payers as required.
• Ensure medical necessity verification aligns with Centers for Medicare & Medicaid Services (CMS) standards and communicate coverage details to patients.
• Notify patients of any deposits or deductibles required before registration and provide cost estimates for procedures.
• Ensure patients are prepared for routine registration, escorted appropriately, and have their questions addressed.

Qualifications

• Minimum of one year of computer data entry experience.
• At least one year of customer service experience working with patients or customers.
• Preferred: One year of healthcare insurance verification experience.
• Preferred: Knowledge of medical terminology.

Education

• High school diploma or GED required.

All candidates must successfully pass a physical evaluation, urine drug screen, and pre-employment background checks prior to starting work.

This position is located in a regional healthcare setting within the Pacific Northwest, serving diverse coastal communities with a commitment to compassionate and quality care.