Patient Access Representative - Wound Care

Patient Access Representative

Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions. Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process. Provides a positive first impression of the facility. Reports to the Director or Manager of Department.

Essential Functions

• Ensures all required demographic, billing, and clinical data are obtained and accurately entered into the registration system in a timely manner.
• Distributes and explains forms, documents, and educational handouts to patients and families.
• Verifies insurance benefits and obtains precertification/authorization as necessary.
• Determines and accepts required payments (e.g., co-pays, deductibles) or refers to financial counseling as appropriate.
• Communicates professionally in-person and by phone; provides clear instructions and excellent customer service.
• Protects patient privacy and confidentiality in all registration activities.
• Participates in performance improvement and required education.
• Works alternate shifts/areas as needed to support department operations.
• Performs other duties as assigned.

Additional Information

Populations Served: Does not treat or provide clinical care to patients. Protected Health Information Accessed: Demographic, Insurance, Financial. Exposure: Occupational exposure to bloodborne pathogens may be present. Physical Requirements (typical): Frequent keyboard data entry, sitting, audible speech and hearing; frequent reaching and repetitive hand/arm movements; occasional walking, standing, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing, kneeling, running, and higher-force tasks. Vision demands include near/far vision and depth perception (constant), color distinction (constant); smell and taste rarely required. Occasional exposure to biological and rare exposure to chemical hazards (e.g., dust, gases/vapors/fumes); latex exposure rare.

Knowledge, Skills & Abilities

Education: High School diploma preferred. Skills: Critical thinking, decisive judgment, and ability to work with minimal supervision in a fast-paced environment. Rapid learning and navigation of multiple software systems. Effective English communication (read, write, speak, and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.