Patient Access Representative (Non-Exempt)

Mercy • Oklahoma City, OK

1d

About The Position

The Patient Access Representative is often the first point of contact for patients and represents Mercy through customer service, compassion, and conduct consistent with Mercy’s mission, values, and Service Standards. The role facilitates patients’ entrance into Mercy facilities through activities that may include scheduling, registration, benefit verification, pre-certification, financial clearance, and pre-visit collection. The representative ensures accurate patient information is obtained and entered into the patient record, and maintains knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation agency requirements. The role also serves as a mentor to fellow Patient Access co-workers.

The representative communicates patient financial responsibility, requests payment, explains payment options and financial assistance resources, and accurately documents required financial conversations. The role may include completing financial clearance activities such as Mercy payment plans, EPPC, and bad-debt resolution.

Requirements

• High school diploma or equivalent required.
• Demonstrated understanding of the responsibilities of Patient Access Level 1.
• Experience with insurance plans.
• Ability to complete financial clearance, including Mercy payment plans, EPPC, and bad-debt resolution.
• Effective oral and written communication skills and excellent telephone etiquette.
• Strong organizational skills and attention to detail.
• Ability to work under stress, meet deadlines, and complete daily assignments accurately.
• Knowledge and experience with various computer systems; ability to use a 10-key calculator and computer keyboard.
• Ability to discuss patient financial responsibility, outstanding balances, payment options, and financial assistance resources with confidence, professionalism, empathy, and accountability.
• Ability to push, pull, and/or lift 50 pounds regularly.
• Ability to stand and walk for prolonged periods during each shift.
• Ability to grip, reach, bend, kneel, twist, and squat to perform duties.

Responsibilities

• Facilitate patients’ entrance into Mercy facilities through scheduling, registration, benefit verification, pre-certification, and financial clearance, including pre-visit collection.
• Obtain accurate patient data and enter it into the patient record.
• Communicate patient financial responsibility, request payment, and explain payment options and financial assistance resources.
• Document the outcome of each required financial conversation accurately.
• Respond to patient questions or concerns, explain available financial resources, and complete required referrals.
• Complete financial clearance activities, including Mercy payment plans, EPPC, and bad-debt resolution.
• Maintain knowledge of insurance carriers, Medicare guidelines, and federal, state, and accreditation agency requirements.
• Mentor fellow Patient Access co-workers.
• Establish and maintain positive working relationships with patients, physicians, hospital staff, and insurance companies.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Tuition support
• Matched retirement plans for team members working 32 or more hours per pay period

What This Job Offers

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