Patient Access Representative
About The Position
The Patient Access Representative welcomes and assists patients and their representatives in person or by telephone, helping ensure an exceptional initial hospital experience. The role collects demographic, health, and insurance information; obtains required signatures; and supports accurate billing and reimbursement. The representative provides professional, compassionate service to patients and guests while completing registration, verification, and financial processes. The position is based onsite at 187 Grand View Dr., Cobleskill, NY. It includes 4–6 weeks of on-the-job training; training hours will follow the applicable schedule or be discussed on the first day of employment. The stated regular schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m.
Requirements
- High school diploma or GED.
- At least 1 year of customer service experience.
- Ability to work onsite at the Cobleskill, New York facility.
- Ability to work Monday through Friday, 8:30 a.m. to 5:00 p.m.
- Must be at least 18 years of age.
- Ability to engage and communicate effectively with individuals and groups of adults at all organizational levels.
- Ability to build rapport quickly, develop trust, sustain working relationships, and represent the organization positively in internal and external meetings.
- Strong time-management and organizational skills.
- Effective communication and interpersonal skills.
- Basic keyboarding skills.
- Strong customer service skills.
- Ability to stand for extended periods, up to 10 hours, while using a workstation on wheels and a phone/headset.
Nice To Haves
- At least 1 year of experience in scheduling and authorizations.
- Healthcare experience and clinical knowledge.
Responsibilities
- Communicate with patients and families in person or by phone to complete registration, collect demographics and health information, and verify insurance eligibility and benefits.
- Use computer systems to enter, access, and verify patient data in real time, ensuring the information is accurate and complete.
- Gather clinical information and process referrals, pre-certifications, pre-determinations, and prior authorizations according to insurance plan requirements.
- Verify insurance coverage and benefits, prepare price estimates, and perform reverifications as needed.
- Collect patient co-pays when appropriate and explain patients’ out-of-pocket financial obligations.
- Identify outstanding balances from previous visits and attempt to collect amounts due.
- Collect information from patients and referring provider offices to confirm and create scheduled appointments for services before hospital discharge.
- Respond to patient and caregiver inquiries, including sensitive topics, with compassion and respect.
- Generate, review, and analyze patient data reports and follow up on issues and inconsistencies.
- Maintain current knowledge of registration requirements for areas including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.
- Obtain required patient or representative signatures to protect the hospital’s interests.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
- A $2,000 sign-on bonus for eligible external applicants; current employees of UnitedHealth Group, UnitedHealthcare, or related entities are not eligible.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
