PATIENT ACCESS REPRESENTATIVE - FULL TIME - NIGHTS AND WEEKENDS

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PATIENT ACCESS REPRESENTATIVE - FULL TIME - NIGHTS AND WEEKENDS

Full Time Critical Access Hospital - Grantsville, Grantsville, WV, US

3 days ago Requisition ID: 1046

Salary Range: $13.00 To $14.00 Hourly

Job Title: Patient Access Representative

Reports To: Patient Access Supervisor

FLSA Status: Non-Exempt

Job Summary

The Patient Access Representative serves as the first point of contact for patients and visitors across MHHS service locations. This role is responsible for accurate patient registration, insurance verification, appointment support, and financial communication while maintaining patient privacy and regulatory compliance. The Patient Access Representative supports efficient patient flow and a positive patient experience through professionalism, accuracy, and effective communication.

Essential Duties and Responsibilities

• Greets patients and visitors professionally and provides courteous, accurate assistance
• Registers patients accurately in the electronic health record, ensuring complete demographic, insurance, and consent information
• Verifies insurance eligibility, benefits, and authorization requirements prior to or at time of service
• Identifies coverage discrepancies or registration issues and escalates appropriately to the Patient Access Supervisor
• Collects required forms, signatures, and payments in accordance with MHHS policies
• Explains financial responsibility information to patients, including copays, deductibles, and available financial assistance options
• Schedules, confirms, and updates patient appointments as assigned
• Maintains patient confidentiality and complies with HIPAA and privacy requirements at all times
• Coordinates with clinical departments, billing, and care teams to support efficient patient flow
• Documents all interactions, corrections, and required follow-up accurately and timely in the system
• Responds to patient questions and concerns with professionalism and empathy
• Performs other job-related duties as assigned

Core Job Competencies (Behavioral)

• Safety & Compliance
• Communication
• Customer Service
• Reliability & Attendance
• Accuracy & Attention to Detail
• Professionalism
• Time Management

Role-Specific Competencies (Technical / Functional)

• Insurance verification and eligibility review
• Appointment scheduling and coordination
• Financial intake and point-of-service collections
• HIPAA-compliant information handling
• EHR navigation and documentation
• Front-desk workflow management

Qualifications

• High school diploma or equivalent required
• Prior experience in patient access, registration, healthcare front office, or customer service preferred
• Knowledge of insurance types, coverage verification, and healthcare terminology preferred
• Strong computer skills and ability to learn electronic health record systems
• Excellent communication, organization, and customer service skills

Compliance Statement

Performs duties in accordance with MHHS policies and procedures and supports compliance with applicable regulatory and oversight requirements, including HIPAA privacy standards, HRSA program requirements where applicable, Joint Commission standards if applicable to the service or location, and West Virginia DHHR regulations as applicable. This job description does not state or imply that the duties listed are the only duties to be performed. Employees may be required to perform other job-related duties as assigned. All requirements are subject to modification to reasonably accommodate individuals with disabilities in accordance with the Americans with Disabilities Act.