Patient Access Representative

Patient Access Scheduler I

The Patient Access Scheduler I is responsible for scheduling patient appointments, verifying insurance coverage, and ensuring accurate registration for outpatient and ancillary services. This role serves as a key liaison between patients, providers, and departments to ensure timely and efficient access to care while supporting revenue cycle operations.

Essential Functions:

• Schedule diagnostic, surgical, and/or outpatient procedures using EHR and scheduling systems.
• Verify insurance eligibility, benefits, and authorization requirements.
• Register patients and ensure accurate demographic and financial data entry.
• Provide patients with procedure preparation instructions and cost estimates.
• Collect co-pays, deductibles, and outstanding balances; reconcile daily cash drawer.
• Communicate with physicians, office staff, and departments to confirm procedure details and resolve scheduling conflicts.
• Document all insurance and authorization information in the registration system.
• Respond to incoming calls and assist patients with scheduling, rescheduling, and inquiries.
• Support outpatient departments with system maintenance tasks (e.g., opening/closing resources, overbooking).
• Adhere to HIPAA and organizational confidentiality standards.
• Performs related duties as assigned.

Minimum Qualifications

Education: High school diploma or GED required; vocational training in medical office administration preferred.

Experience: One (1) year in a medical office or hospital setting, including 6 months of scheduling or insurance verification experience.

Licensure or Certification: Heartsaver CPR certification required within 90 days for specific departments (e.g., Pediatric or Adult Therapies).

Knowledge, Skills, and Abilities:

• Knowledge of medical terminology, insurance plans, and scheduling protocols.
• Strong communication and customer service skills.
• Proficiency in EHR systems and scheduling software.
• Ability to multitask and prioritize in a fast-paced environment.
• Attention to detail and accuracy in data entry.
• Basic computer and office equipment proficiency.