Patient Access Rep

Job Overview This job greets patients and guests in a courteous manner via telephone or in person; initiates scheduling appointments or completing the check‑in/admission process for patients; obtains and verifies accurate identification and demographic data for the patient’s medical record to support accurate reimbursement while maintaining confidentiality of all patient information. Responsible for point‑of‑service collections, face‑to‑face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction by consistently representing the company professionally and is cross‑trained to support multiple functions across all patient and payer types. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. Education Required – High school diploma or equivalent Preferred – Associate’s degree Work Experience Required – Minimum of 1 year of experience in a hospital, clinic, medical office, business services/revenue cycle, or other customer service‑related environment. Experience may include front‑line registration, financial counseling, banking, retail, or similar roles involving direct customer or patient interaction. Certifications Preferred – Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), or Certification as a Medical Assistant (or other medical specialty‑based certification) Knowledge, Skills and Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of information. Effective verbal and written communication skills and the ability to present information clearly and professionally. Must be proficient with Windows‑style applications, various software packages specific to role and keyboard. Strong interpersonal skills. Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations. Skills to effectively present information and respond to questions from patients and customers, with proficiency. Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism. Good organizational, time management, and conflict resolution skills. Excellent decision‑making skills; good analytical skills with a strong attention to detail are necessary. Ability to work collaboratively with other departments. Job Duties Provide excellent customer service to all patients, guests, and family members. Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process. Ensure all required forms are completed and other paperwork/documents are gathered and accurate. Efficiently and accurately gather and input patient/guarantor demographic and financial information; explain insurance benefits and collect co‑pays, deductibles and self‑pay portions due. Perform financial analysis of each case and inform patient of financial responsibility. Balance cash drawer daily, prepare deposit slips and follow closing cash drawer process at the end of each shift. Demonstrate respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter‑personal conflicts. Adapt behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. Other related duties as required. Physical and Environmental Demands Sedentary work – up to 10 pounds of force occasionally, and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Compliance & Privacy The employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance‑related concerns. Equal Opportunity Employer The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. #J-18808-Ljbffr