Patient Access Rep - Clinic

CommonSpirit Health•College Station, TX

About The Position

The Patient Access Representative manages administrative duties for the patient intake process in a clinic, following established guidelines. The role involves interacting with patients in person and by phone to facilitate check-in and check-out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations. Success requires critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology to provide a seamless, high-quality patient intake experience. The representative assembles data and documents for patient pre-admission, admission, pre-registration, and registration; completes insurance verifications and authorizations; enters demographic information; and uses department applications to check eligibility and authorization. The role also assesses and collects patient financial responsibility, explains payment policies and funding resources, obtains and documents funding information, and supports financial assistance and charity-care eligibility processes.

Requirements

High school graduate with general studies, or GED with general studies.
Knowledge of insurance, billing, and medical terminology.
Critical-thinking skills and strong customer-service skills.

Responsibilities

Assemble data and documents needed for pre-admission, admission, pre-registration, and registration.
Complete insurance verifications and authorizations.
Enter patient demographic information and use department applications to check eligibility and authorization.
Assess patient financial responsibility and collect co-pays and deductibles at admission.
Screen admissions and explain payment-source policies and procedures to referring physician offices, patients, and families.
Obtain and document patient funding information and provide information about available funding resources.
Obtain funding for patients at scheduling, pre-registration, registration, or post-registration as assigned.
Use payer resources and websites to assess eligibility.
Initiate third-party referrals and administer financial assistance policies and procedures to determine eligibility for discounted prices or charity care.
Interact with patients in person and by phone to facilitate check-in and check-out, collect data and payments, schedule appointments, and process referrals and authorizations.