Patient Access Representative MH

Legacy Health • Gresham, OR

11d • $23 - $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 includes registering and admitting patients, collecting accurate demographic, insurance, medical, and financial information, and explaining insurance coverage and financial responsibilities. The representative collects applicable payments, helps patients access financial and insurance resources, and obtains required legal documentation to support state and federal compliance. The role contributes to accurate medical and financial records by collaborating with Revenue Cycle departments and hospital units.

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 experience.
• 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.
• Effective 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 in a calm, succinct, business-like manner.
• Ability to deal with people in emergent and stressful situations and identify alternative means of communication as needed.
• Ability to adapt to change.
• Keyboard skills and ability to navigate electronic systems applicable to job functions.
• Ability to use electronic medical records, Microsoft Office applications, 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 using 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 collection, 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 demographics, 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 guide them in accessing financial and insurance resources.
• Offer self-pay information and applicable discounts.
• Collect copayments, coinsurances, deposits, and other 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.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED