Patient Access Representative

Lifepoint Health•Somerset, KY
•Onsite

About The Position

The Patient Access Representative obtains and accurately enters patient demographic, billing, and clinical information in the registration system, assigning a medical record number when appropriate. The role explains and distributes required forms and educational materials, obtains treatment signatures, and meets with patients or caregivers before or after admission to exchange information and documentation. The representative explains processes, answers questions, and communicates with physician offices, nursing staff, and other personnel to coordinate admissions and placement. The position also verifies insurance benefits, obtains precertification or authorization as needed, determines and collects required payments such as copays and deductibles, and refers patients to financial counselors for follow-up when appropriate. The representative reviews visit history for third-party payer compliance, completes related documentation, checks and replenishes supplies, and provides backup for other functional areas.

Requirements

  • High school diploma or equivalent; three years of directly related experience may be substituted for the required education.
  • Computer experience required.
  • Critical-thinking skills and decisive judgment.
  • Ability to work with minimal supervision.
  • Ability to work in a stressful environment.

Nice To Haves

  • Billing or collection experience preferred.
  • Knowledge of medical terminology strongly preferred.

Responsibilities

  • Obtain and accurately enter demographic, billing, and clinical information in the registration system, assigning a medical record number when appropriate.
  • Distribute and explain forms, documents, and educational handouts to patients or family members and obtain necessary treatment signatures.
  • Meet with patients or caregivers before or after admission to exchange information and documentation.
  • Explain processes and address patient or caregiver questions and concerns.
  • Communicate with admitting physician offices, nursing staff, and other appropriate personnel to exchange information and determine placement.
  • Verify insurance benefits and obtain precertification or authorization as necessary.
  • Determine and accept required payments, including copays and deductibles, or refer patients to financial counselors for follow-up.
  • Research patient visit history for compliance with third-party payer requirements and complete applicable documentation.
  • Collect copays and other funds according to established criteria.
  • Check and restock supplies as needed.
  • Serve as backup for other functional areas.

Benefits

  • Medical, dental, and vision coverage options for full-time and part-time employees.
  • Life, accident, critical illness, and hospital indemnity insurance.
  • Short- and long-term disability insurance.
  • Paid family leave and paid time off.
  • Higher education and certification tuition assistance.
  • Loan assistance.
  • 401(k) retirement package with company match.
  • Wellness programs, including gym memberships, virtual care appointments, mental health services, and discount programs.
  • Ongoing learning and career advancement opportunities.
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