Associate Patient Access Rep- Community Hospital Westfield

Community Health Network • Westfield, MA

15d

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.

The APAR performs front-office and back-office functions across the network, including patient registrations and movement, admission-related processes, pre-registration, verification of medical necessity and coverage, collection and entry of patient information, and review of the electronic health record for completeness.

Requirements

• High school diploma or GED equivalent.
• Proficiency in all types of patient registrations, including inpatient, outpatient, and emergency admissions.
• Ability to monitor and perform patient hospital and/or ambulatory movement.
• Ability to accurately enter patient demographic, insurance, and financial information.
• Ability to gather and verify confidential health and financial information and use computer software.

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

• Perform patient registrations, including inpatient, outpatient, and emergency admissions.
• 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 in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicate relevant coverage and eligibility information to patients.
• Accurately identify and enter patient demographic, insurance, and financial information, including inpatient and outpatient benefits.
• Gather and verify appropriate confidential health and financial information from patients and use computer software to help assure payment for authorized services.
• Confirm the completeness of the electronic health record (EHR) and make necessary changes.
• Handle customer service, patient check-ins, scheduling, payment collection, insurance verification, and financial clearance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED