Patient Access Representative I, Full Time, Days (L&D)

University of Maryland Medical System•Glen Burnie, MD

3d•Onsite

About The Position

The Patient Access Representative I is responsible for performing scheduling, registration, pre-admission processing, wayfinding, and other administrative duties in accordance with department-specific standards. This role may involve verifying insurance benefit eligibility, completing insurance pre-certification and authorization, and creating cost estimates. The representative collaborates with care teams and revenue cycle partners to address barriers to access, reimbursement, and affordable care. They also educate patients and families on the financial clearance process, estimated costs, and available financial assistance options. This position performs assigned administrative and Admission, Discharge, and Transfer (ADT) functions across multiple clinics and registration areas within the institution.

Requirements

Completion of a high school level education with attainment of a high school diploma or a State High School Equivalency Certificate (GED) is required.
1 year of work experience in a clerical, customer service or receptionist position, preferably in a healthcare setting is required.

Nice To Haves

Certification and memberships to local organizations such as AAHAM, NAHAM, etc. preferred.
2 years’ work experience preferred.

Responsibilities

Serves as the first point of contact for patients and visitors, ensuring a customer-focused, quality-conscious work climate.
Focuses on interpersonal skills, data collection, situation assessment, and assisting the team in developing solutions for excellent customer service and hospital financial viability.
Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage in Epic, provides cost estimates, secures pre-certifications/pre-notifications, collects co-pays and deposits, and provides financial assistance information.
Provides wayfinding to all clinics where Patient Administrative Services offers registration assistance.
Maintains regulatory and functional knowledge of registration information for timely and accurate reporting/billing, obtains required signatures, and performs clerical duties.
Educates patients regarding insurance coverage, hospital and physician billing requirements, and communicates proper procedures.
Communicates coverage issues to service areas and works with patients and staff to resolve them.
Ensures accuracy and completion of paperwork before filing admissions, contacting physician/clinical staff for incomplete registration paperwork, and distributing admission documents if required.
Maintains department scheduling templates for applicable providers in outpatient department locations, ensuring appropriate utilization.
Maintains consistent contact with Care Management and Social Work departments to ensure required information for reimbursement and adherence to pre-admission and pre-certification requirements.
Assists supervisor with training new Admitting staff by demonstrating department operating processes and procedures.