Assoc Patient Access Rep-FAM Med IM Care Carmel

Community Health Network•Carmel-by-the-Sea, CA

About The Position

The Associate Patient Access Representative (APAR) is the first contact for visitors, handling customer service, patient registration, and financial clearance. This role includes check-ins, scheduling, payment collection, insurance verification, and compliance management. The APAR ensures smooth workflows and adherence to guidelines, preparing patients administratively and financially for their visits.

Requirements

High School Diploma or GED High School diploma or GED equivalent (Required)
Proficient in all types of registrations (i.e., inpatient, outpatient, and emergency admits)

Nice To Haves

1+ years: Experience in healthcare office setting and/or work history with strong customer service background (Preferred)

Responsibilities

Handles customer service, patient registration, and financial clearance.
Performs check-ins, scheduling, payment collection, insurance verification, and compliance management.
Ensures smooth workflows and adherence to guidelines.
Prepares patients administratively and financially for their visits.
Performs a variety of front-office and back-office functions.
Completes Admissions, Discharges, and Transfers in a timely manner when applicable.
Monitors and performs all patient hospital and/or ambulatory movement.
Utilizes EPIC work queue to pre-register scheduled patients.
Verifies medical necessity in accordance with the Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage and eligibility information to the patient.
Accurately identifies and enters patient demographics, insurance, and financial information including inpatient and outpatient benefits.
Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services.
Confirms the completeness of the electronic health record (EHR) and makes necessary changes.