Patient Access Representative

Patient Access Representative

Southwest Health

1 Positions

ID: 80487

Posted On 09/02/2025

Refreshed On 08/09/2026

Job Overview

Requirements

• Must have a high school diploma, GED, or equivalent.

• Six months to one year experience with customer relations required

• Knowledge of basic office procedures/equipment and computer systems required

• Familiarization with medical terminology and prior health care experience preferred

• ​Certification in Basic Life Support (BLS) preferred.

Work Hours

We’re growing and expanding our Patient Access team!

• We are seeking a full-time (36 hours/ week) Patient Access Representative to work as a Float in various departments.

• We are seeking a casual (fill in as needed) Patient Access Representative

Job Summary

The primary responsibilities of the Patient Access Representative are to arrange for efficient and orderly registration of Emergency, Inpatients and Outpatients. A patient access representative ensures that accurate patient information is collected and that patients are aware of hospital policies and procedures. These duties will be performed in a “Customer oriented” professional manner.

Essential Job Functions and Responsibilities

This list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities as management may deem necessary from time to time.

1. Registers patients for services performed at Southwest Health.

2. Ensures patient records are up-to-date: demographics, employer, and emergency contacts

3. Scans all necessary paperwork into system (face sheet, insurance card, patients’ order, Driver’s License, and any other signed documentation)

4. Gathers necessary patient information including outpatient physician orders, diagnosis, emergency notification numbers, and insurance information

5. Obtains necessary signatures on registration related documents.

6. Verifies insurance eligibility and benefits.

7. Obtains Medicaid eligibility from the online Forward Health program and changes the patients account accordingly.

8. Processes Medicare patients through the designated electronic verification program to obtain medical necessity for scheduled procedures.

9. Collects/requests out-of-pocket liabilities from patients upfront and applies, adjusts, and reconciles daily point-of-service cash reports. Refers patient accounts to financial counselors when further explanation/education is needed regarding denied authorizations, out-of-pocket liabilities, coverage options, or payment plans.

10. Cross-trains and is well versed in a minimum of three areas of patient access.

11. Obtains signature from patient on Advance Beneficiary Notice (ABN) if the procedure didn’t pass medical necessity.

12. Exhibits professionalism in appearance, speech, and conduct. Ensures that services are provided in accordance with state and federal regulations.

13. Adheres to Southwest Health’s value-based behavior standards.

14. Understands and adheres to Southwest Health compliance and HIPAA standards as they appear in the Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.

15. Performs other duties and responsibilities as requested or required.

Contact Information

Southwest Health

Attn: Human Resources

1400 Eastside Rd

Platteville, WI 53818

Phone: View phone number on click.appcast.io

Email: [email protected]

Fax: View phone number on click.appcast.io

Benefits

Southwest Health is truly an outstanding place to work. A full benefit package is available for employees working 20 hours/week or greater which includes: Health, Dental, Vision and Life insurance. Also available are long and short term disability, cell phone discount, flexible spending plan, paid time off, retirement plan with an employer contribution, fitness membership discount as well as use of exercise equipment at the facility.

Primary Contact

13894

Miranda Koch

HR Generalist, Human Resources

View phone number on click.appcast.io

Phone

Phone

Phone

Fax

[email protected]

Email

True

False

True

Job Details

Location

Platteville, WI

Job Type

Employee

Full/Part

Full Time

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Retirement Plan

PTO (Paid Time Off)

Tuition Reimbursement

Qualifications

Education

High School/GED

Company ID

1250

Job REQ #

# Positions

1

Start Date

20250902

End Date

20261230

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Southwest Health

About the Company

Southwest Health is a non-profit healthcare system offering southwest Wisconsin a range of services within our various facilities. Our locations include a hospital and clinic in Platteville, Southwest Health Behavioral Services, a clinic, Eye Center, and rehab services facility in Cuba City, Darlington, and Kieler Wisconsin.

We are a model healthcare organization that provides the highest quality at the lowest possible cost to create healthier communities. The Joint Commission has awarded Southwest Health a full accreditation as a Health Care Organization because we strive to provide the best care possible and prove it by meeting the Joint Commissions' standards for high-quality care. Southwest Health has been named a Human Experience (HX) Guardian of Excellence Award® winner by Press Ganey, the global leader in healthcare experience solutions and services. These awards and the awards won in the past, speak to the commitment Southwest Health has for safety, patient experience, and creating a healthier southwest Wisconsin. This accreditation marks Southwest Health' fourth consecutive year of receiving the Guardian Excellence award for inpatient Patient Experience.

Southwest Health features four family medicine clinics, four Eye Center locations, Birth Center, a specialty services with cardiology, ENT, and Interventional Pain, a state-of-the-art Orthopedic Institute housing physical, occupational, and speech therapies, and 24-hour emergency services, to name just a few.