Patient Access Rep - Cardio Clinic - Full Time

Kingman Healthcare•Kingman, AZ

About The Position

The Patient Access Representative completes patient registration processes under management direction, including verifying benefits, discharging patients, collecting copayments or other payments, balancing accounts, and entering data. The role supports KHI’s vision of providing kind, high-quality healthcare and contributes to a positive patient experience. This position reports to the Department Manager/Director and is non-exempt and safety-sensitive. The representative preregisters, registers, schedules, reschedules, and discharges patients; maintains accurate patient records and electronic health records; verifies insurance eligibility and benefits; obtains pre-authorizations when needed; ensures required documents are scanned and forms are signed; and manages payments and deposits. The position also handles cash balancing and reporting, uses insurance eligibility and audit tools, and reports or corrects variances in the EMR. The role involves frequent patient and staff interaction, phone inquiries, referrals to financial counselors when needed, teamwork, and participation in process improvement. The representative may float to other work areas and is expected to work nights, weekends, holidays, and extended hours when needed, including rotating on-call coverage as assigned. Other duties may be assigned to support the department and organization.

Requirements

High school diploma or equivalent.
At least 1 year of experience in a customer service position and/or office setting.
American Heart Association BLS certification required upon hire.
Ability to multitask, prioritize appropriately, and manage time efficiently.
Effective oral and interpersonal communication skills.
Ability to use technological resources, including phones, computer hardware, software programs, fax machines, and scanners.
Ability to reach above and below shoulder level, lift, bend, kneel, squat, stand, walk, and sit for the full scheduled shift.
Ability to use telephone and computer software and hardware for most of the shift (90% of the day).

Nice To Haves

Previous experience in healthcare registration, scheduling, and/or authorizations.

Responsibilities

Provide excellent customer service and support patient satisfaction while adhering to the Behavioral Expectations Agreement.
Field or direct incoming calls and respond to patient and staff inquiries.
Refer patient accounts to financial counselors when further explanation or education is needed.
Assist coworkers, support department efficiency, and participate in ongoing process improvement activities.
Float to other work areas as requested and provide coverage through assigned rotating on-call schedules.
Preregister, register, schedule, reschedule, and discharge patients according to established guidelines.
Enter new patient data and verify and update patient records and electronic health records as necessary.
Verify insurance eligibility and benefits within KHI-established timeframes.
Obtain pre-authorizations from third-party payers in accordance with payer requirements when needed.
Ensure required information and documents, including insurance cards, photo IDs, physician orders, and admission documents, are complete and scanned into the EHR.
Obtain signatures on required forms.
Manage copayments, deductibles, allowances, and other payments as instructed.
Balance daily cash and complete the daily cash log, bank deposit slip, and reports to Patient Financial Services.
Use insurance eligibility and audit tools accurately and report or correct variances within the EMR.
Meet defined quality performance goals.
Collect upfront copayments and deductibles and secure deposits on self-pay and high accounts.
Work nights, weekends, holidays, and extended hours when needed.
Perform other duties as assigned to support department and organizational effectiveness.