Patient Access Representative I

University of Maryland Medical System•Towson, MD

5d•$17 - $21•Onsite

About The Position

Under general supervision, the Patient Access Representative I performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties while following department standards for data entry and patient selection. Duties may also include verifying insurance eligibility, obtaining pre-certifications and authorizations, and creating or finalizing cost estimates. The role works with care teams and revenue cycle staff to identify and address barriers to access, reimbursement, and affordable care, and educates patients and families about financial clearance, estimated service costs, and financial assistance opportunities. The position performs administrative and Admission, Discharge and Transfer (ADT) functions across multiple clinics and registration areas. This is a part-time, day-shift position at University of Maryland St. Joseph Medical Center in Towson, Maryland. The schedule is every other weekend, either 6:00 a.m.–2:30 p.m. or 7:00 a.m.–3:30 p.m. Availability during daytime hours for the first full week of training is required.

Requirements

High school diploma or State High School Equivalency Certificate (GED).
At least 1 year of work experience in a clerical, customer service, or receptionist position; healthcare experience is preferred.
Availability for daytime hours during the first full week of training.

Nice To Haves

Two years of work experience.
Certifications or memberships in local organizations such as AAHAM or NAHAM.
Experience in a healthcare setting.

Responsibilities

Serve as the first point of contact for patients and visitors and provide customer service in Patient Access and Patient Administrative Services areas.
Collect and verify patient and insurance demographic information.
Verify insurance benefits and coverage by reviewing benefit collection in Epic.
Provide cost estimates, obtain pre-certifications or pre-notifications, collect co-pays and deposits before services, and provide information about financial assistance.
Provide wayfinding to clinics where Patient Administrative Services provides registration assistance.
Maintain knowledge of regulatory and functional registration requirements to support timely and accurate reporting and billing.
Obtain required signatures and perform clerical duties as needed.
Educate patients about adequate insurance coverage and applicable hospital and physician billing requirements.
Communicate coverage issues to service areas and work with patients and staff to resolve them.
Ensure paperwork is accurate and complete before filing admissions; contact physician or clinical staff about incomplete registration paperwork and distribute admission documents when required.
Maintain scheduling templates for applicable outpatient providers and support appropriate scheduling utilization.
Coordinate with Care Management and Social Work to ensure required reimbursement information is obtained and pre-admission and pre-certification requirements are followed.
Assist the supervisor in training new Admitting staff by demonstrating departmental processes and procedures.