Patient Access Representative | Days | Part Time

White Rock Medical Center•Dallas, TX

About The Position

White Rock Medical Center is seeking a compassionate, care-minded Patient Access Representative to support its patient-focused community hospital. Under the direction of the Director of Patient Access, this role is responsible for pre-verifying insurance for patients admitted for care, resolving coverage issues, and escalating complex issues to a supervisor or manager. The representative interviews patients and completes required paperwork to support an efficient admitting process and compliance with hospital and regulatory policies. The role also provides welcoming assistance to patients, families, and guests; performs registration and payment activities; processes insurance verifications and authorizations; and maintains communication with patients and insurance companies. The representative is expected to provide exceptional customer service, manage changing priorities under stressful demands, follow applicable policies and procedures, and collaborate effectively with patients and coworkers.

Requirements

At least two years of face-to-face customer service experience.
High school diploma or equivalent.
Ability to communicate effectively, verbally and in writing, with individuals and groups from varied backgrounds and educational levels in a high-stress environment.
Ability to manage multiple and changing priorities effectively and in an organized manner while maintaining exceptional customer service.
No licensure or certifications required.

Nice To Haves

Experience providing customer service to patients and their families in a healthcare or emergency room setting.
Some college.

Responsibilities

Greet patients, families, and guests in lobbies and patient care areas; provide escorts and wheelchair assistance when applicable.
Perform routine registration, including verifying patient demographic information, processing point-of-service payments, verifying required signatures, and reviewing and processing patient forms.
Accurately enter pre-certification, authorization, and insurance verification information for patients.
Research, follow up on, and resolve open and pending authorizations in a timely manner.
Calculate cash estimates for patients’ upcoming visits and procedures.
Maintain clear communication with patients and insurance companies.
Obtain prior authorization for procedures.
Scan medical documents into patient accounts.
Interview patients and complete paperwork necessary for an efficient admitting process and compliance with hospital and regulatory policies.
Escalate complicated insurance coverage issues to a supervisor or manager.
Provide consistent, responsive customer service; handle requests, complaints, and questions promptly.
Follow HIPAA guidelines, patient rights policies, compliance requirements, standard precautions, and applicable safety, emergency, and environment-of-care procedures.
Attend staff meetings and meet deadlines.