Assoc Patient Access Rep - Fam Med Care-Carmel

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

About The Position

The Associate Patient Access Representative (APAR) is the first point of contact for visitors and provides customer service, patient registration, and financial clearance. The role supports patient check-ins and scheduling, collects payments, verifies insurance, and manages compliance. It helps maintain smooth workflows and prepares patients administratively and financially for their visits. The APAR performs a range of front-office and back-office functions across the network, including registrations, admissions, discharges, transfers, patient movement monitoring, pre-registration, medical-necessity verification, and handling patient demographic, insurance, financial, and health-record information.

Requirements

  • High school diploma or GED equivalent (required).

Nice To Haves

  • At least 1 year of experience in a healthcare office setting and/or work history with a strong customer service background (preferred).

Responsibilities

  • Handle customer service, patient registration, and financial clearance for visitors.
  • Support patient check-ins and scheduling and collect payments.
  • Verify insurance and manage compliance requirements.
  • Complete inpatient, outpatient, and emergency registrations.
  • Complete admissions, discharges, and transfers in a timely manner when applicable.
  • Monitor and perform patient hospital and/or ambulatory movement.
  • Use the EPIC work queue to pre-register scheduled patients.
  • Verify medical necessity according to Centers for Medicare & Medicaid Services (CMS) standards and communicate relevant coverage and eligibility information to patients.
  • Accurately identify and enter patient demographics, insurance, and financial information, including inpatient and outpatient benefits.
  • Gather and verify confidential health and financial information from patients and use computer software to assure payment for authorized services.
  • Confirm the completeness of the electronic health record (EHR) and make necessary changes.
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