Patient Access Rep - Clinic Referral Center

CommonSpirit Health•Bryan, TX

About The Position

The Patient Access Representative manages administrative duties for the patient intake process in a clinic while adhering to established guidelines. The role involves interacting with patients in person and by phone to facilitate check-in and check-out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations. Success requires critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology to support a seamless, high-quality patient intake experience. The representative performs collection functions and provides financial assistance for payment methods; interviews patients and/or family members; and collects or negotiates point-of-service payments or connects patients with financial assistance programs. The role also communicates courteously and clearly with patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and physicians’ office staff. The representative conveys estimates of patient responsibility based on established charge estimates for common procedures and counsels patients about third-party coverage, financial responsibility, and billing procedures.

Requirements

  • High school diploma in General Studies or GED.
  • One year of experience.
  • Critical thinking and strong customer service skills.
  • Knowledge of insurance, billing, and medical terminology.

Responsibilities

  • Manage administrative duties for the clinic patient intake process according to established guidelines.
  • Interact with patients in person and by phone to facilitate check-in and check-out.
  • Collect patient data and payments, validate insurance, schedule appointments, and process referrals and authorizations.
  • Perform collection functions and provide financial assistance for payment methods.
  • Conduct interviews with patients and/or family members.
  • Collect or negotiate point-of-service payments or connect patients with financial assistance programs.
  • Communicate information courteously, clearly, and informatively to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and physicians’ office staff.
  • Convey estimates of patients’ responsibility for billed service costs under deductible, coinsurance, and standard copay benefit designs, based on established charge estimates for common procedures.
  • Counsel patients regarding third-party coverage, financial responsibility, and billing procedures.
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