Assoc Patient Access Rep - Fam Med Care-Greenfield

Community Health Network•Greenfield, MA

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 check-ins, scheduling, payment collection, insurance verification, and compliance management, helping ensure smooth workflows and preparing patients administratively and financially for their visits. APARs perform front-office and back-office functions throughout the network.

Requirements

  • High school diploma or GED equivalent.
  • Proficiency in inpatient, outpatient, and emergency registration.
  • Ability to complete admissions, discharges, and transfers in a timely manner when applicable.
  • Ability to monitor and perform patient hospital and/or ambulatory movement.
  • Ability to use EPIC work queues to pre-register scheduled patients.
  • Ability to verify medical necessity in accordance with CMS standards and communicate coverage and eligibility information.
  • Ability to accurately identify and enter patient demographic, insurance, and financial information.
  • Ability to gather and verify confidential health and financial information and use computer software to support payment for authorized services.
  • Ability to confirm EHR completeness and make necessary changes.

Nice To Haves

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

Responsibilities

  • Provide customer service to visitors and patients.
  • Perform patient check-ins, scheduling, registration, and financial clearance.
  • Collect payments and verify insurance.
  • 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 enter patient demographic, insurance, and financial information, including inpatient and outpatient benefits.
  • Gather and verify confidential health and financial information using computer software to assure payment for authorized services.
  • Confirm the completeness of the electronic health record (EHR) and make necessary changes.
  • Ensure compliance and smooth workflows.
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