Patient Access Representative I

St. Luke's Brazosport•Lake Jackson, TX

5d•Onsite

About The Position

As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines. Every day you will interact with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations. To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high-quality patient intake experience.

Requirements

High School diploma or GED
Critical thinking
Strong customer service skills
Knowledge of insurance, billing, and medical terminology

Responsibilities

Manages administrative duties for the patient intake process in the clinic, adhering to established guidelines.
Interacts with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations.
Assembles all data and documents required for complete patient registration, including pre-admission, admission, pre-registration, and registration functions.
Completes all insurance verifications and authorizations.
Enters all patient demographic information and uses other department applications for eligibility and authorization.
Assesses patient financial responsibility and collects co-pays and deductibles at the time of admission.
Screens admissions and informs referring physician offices, patients, and their families about hospital policies and procedures regarding payment sources for services rendered.
Obtains and documents funding information from patients and provides information on available funding resources.
Obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post-registration as assigned.
Uses payer resources and websites to explore and assess eligibility.
Initiates third-party referrals and administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care.