Patient Access Representative

CommonSpirit Health • Lexington, KY

7d • Onsite

About The Position

The Patient Access Representative performs patient registration and admitting across assigned hospital access areas, which may include the Emergency Department, main registration, and admitting. The role gathers, verifies, and updates demographic, insurance, and account information in multiple systems for registration, scheduling, and documentation; identifies and escalates discrepancies or complex scenarios; supports workflows during high-volume periods; and works with the care team, patients, and families to support a positive experience.

The representative performs registration functions while ensuring accurate demographic information, insurance eligibility and benefits verification, and complete, confidential documentation in the electronic health record. The role also scans and manages patient documentation, communicates financial responsibility and collects payments when appropriate, schedules and manages appointments, resolves routine discrepancies, escalates complex issues, and provides patient-facing support through telephone and other approved communication channels. Success requires accuracy, strong customer service, accountability for relationship-based care and the organization’s mission and values, and adherence to privacy and regulatory requirements.

Requirements

• High school graduate or GED.
• One year of relevant healthcare or patient-access-setting experience is preferred.
• Knowledge of patient registration procedures and documentation.
• Knowledge of health insurance payers.
• Knowledge of real-time insurance eligibility verification.
• Accuracy, strong customer service, and accountability for relationship-based care, organizational mission and values, and privacy and regulatory requirements.

Nice To Haves

• One year of relevant experience in healthcare or a patient access setting.
• Knowledge of patient registration procedures and documentation, health insurance payers, and real-time insurance eligibility verifications.

Responsibilities

• Perform patient registration and admitting across assigned hospital access points, which may include the Emergency Department, main registration, and admitting.
• Gather, verify, and update patient demographic, insurance, and account information in systems used for registration, scheduling, and documentation.
• Verify insurance eligibility and benefits and maintain accurate, confidential documentation in the electronic health record.
• Scan, index, and manage patient documentation to support registration, billing, and clinical workflows in accordance with organizational standards.
• Communicate patient financial responsibility using established education tools and scripts, including estimates and patient liabilities, and collect payments at the time of service as appropriate.
• Schedule, confirm, and revise patient appointments to support timely access to care and provider and clinic workflows.
• Identify and resolve routine registration, insurance, and encounter discrepancies, and escalate complex or non-standard issues through established workflows.
• Provide patient-facing support by telephone and other approved communication channels, including answering inquiries, routing calls, and documenting interactions.
• Support workflows during high-volume periods and work with the care team, patients, and families to support a positive experience.

What This Job Offers

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