PATIENT ACCESS REPRESENTATIVE I-1

Patient Access Representative I-1

Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services. Reviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.

Primary duties and responsibilities include:

• Obtains/confirms and enters/updates demographic and insurance information for all patients
• Verifies insurance coverage, screens patient for potential funding sources, and sets expectations for reimbursement of services
• Collects, posts, and reconciles all payments from patients
• Performs other position appropriate duties as required in a competent, professional, and courteous manner

Physical requirements include the ability to perform job functions while standing, sitting, and walking frequently, and the ability to work indoors and in confined/cramped spaces continuously.

Knowledge, skills, and abilities required include excellent customer service skills, ability to receive and express detailed information through oral and written communications, knowledge of insurance plans and benefits, computer literacy, minimum typing skills of 35-40 wpm, eye-hand coordination and manual dexterity, knowledge of medical terminology, and ability to handle multiple tasks simultaneously.

Education requirements include an associate degree or high school diploma with 2 years of customer service experience, patient access certification (preferred), and one (1) year relevant experience in a medical office or hospital preferred.