Patient Access Representative

Legacy Health•Tualatin, OR
•$22 - $32

About The Position

The Patient Access Representative is the primary non-clinical contact for hospital-based patient visits and helps create a welcoming, positive experience for patients and families. The role guides patients through their healthcare journey by collecting insurance and other essential information, explaining financial responsibilities, collecting payments, and obtaining legal documentation required for state and federal compliance. The position also creates accurate medical and financial records to support patients and medical teams. The role is based at Legacy Meridian Park Medical Center, a full-service medical center serving the South Metro area. Its services include stroke and chest pain care, minimally invasive and robotic surgery, cancer care, orthopedic and total joint surgery, a birth center, and a breast health center.

Requirements

  • High school diploma or equivalent.
  • At least one year of healthcare experience, or equivalent education, in Patient Access, Medical Records/Health Information, or applicable clerical support.
  • Six months of customer service experience.
  • Effective written and verbal communication skills.
  • Critical-thinking and problem-solving skills.
  • Ability to work efficiently with minimal supervision and exercise independent judgment within stated guidelines.
  • Interpersonal skills that promote cooperation and teamwork.
  • Ability to withstand varying job pressures and organize and prioritize related tasks.
  • Ability to perform multiple tasks simultaneously.
  • Excellent public relations skills and ability to communicate calmly, succinctly, and professionally.
  • Ability to deal with people in emergent or stressful situations and identify alternative means of communication as needed.
  • Ability to adapt to change.
  • Keyboard skills and ability to navigate electronic systems relevant to job functions.
  • Ability to maneuver through electronic medical records, Microsoft Office applications, other software, websites, and databases.
  • Demonstrated understanding of complex collection issues.
  • Ability to understand and adhere to EMTALA guidelines.
  • Ability to communicate patient financial information, offer financial aid services, educate patients on eligibility and in-network and out-of-network status, and enroll patients in Presumptive Medicaid services through a detailed eligibility questionnaire.
  • Knowledge of medical terminology.

Nice To Haves

  • Two years of college education, including satisfactory completion of college-level Health Records coursework.
  • Previous registrar and third-party payor experience.
  • Understanding of health plan and benefit structures.
  • Knowledge of multi-payor systems and ability to understand and apply e-coverage results.
  • Knowledge of billing and collections, past balances, deposits, and applicable state and federal rules and regulations.

Responsibilities

  • Greet, register, check in, and admit patients according to scope and service line.
  • Collect patient demographic information, identify medical providers involved in care, and document medical decision-makers.
  • Verify insurance coverage and benefits and determine patient financial responsibilities.
  • Help patients and families understand active insurance coverage and access financial and insurance resources.
  • Provide self-pay information and applicable discounts.
  • Collect copayments, coinsurances, deposits, and payments as appropriate.
  • Collaborate with Revenue Cycle departments and hospital units to ensure accurate medical and financial records.
  • Collect and submit required legal documentation to meet state and federal compliance regulations.
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