Patient Access Representative - Registration (Days)

Tanner Health•Carrollton, GA

3d•Onsite

About The Position

Facilitates a quality and efficient patient intake process, including pre-registration, registration, insurance and precertification verification, document completion, point-of-service collections, and review of work output. Assignments may span multiple locations within the facility or system and various Patient Access Services operations, including call center, patient-facing, and bedside functions. The role supports accurate registration and insurance verification, authorization and medical-necessity processes, completion and scanning of required documentation, patient estimates and collections, cashier duties when needed, and efficient patient flow. The representative may provide float support across operational areas, assist with medical records requests, and work with case management or nursing to ensure patient placement and status align with physician orders. The position requires maintaining confidentiality, following department and facility policies, supporting process improvement, and responding appropriately to emergencies and compliance concerns. The position requires a high school diploma or GED; no prior work experience is required. Customer service experience, familiarity with coding and medical terminology, and some college coursework are preferred. No license or certification is required. The role has no supervisory responsibilities.

Requirements

High school diploma or GED.
No prior work experience required.
Excellent public-relations skills and a pleasant, professional demeanor when interacting with the public, including irate or abusive individuals.
Ability to communicate effectively and maintain good relations with coworkers, hospital and medical staff, patients, families, and third-party payers.
Ability to make independent decisions, demonstrate emotional maturity, and use sound judgment.
Ability to work effectively in a team-oriented environment.
Ability to comprehend and apply a wide range of operating procedures.
Ability to organize work to maximize time utilization and productivity and support smooth patient flow.
Ability to work effectively in high-stress situations and a fast-paced environment with frequent interruptions.
Proficient use of computer equipment.
Ability to read and write legibly with accurate spelling.
Flexibility to work hours and days potentially outside normal shifts or routines as departmental or system demands require.

Nice To Haves

One year of customer service experience.
Previous experience with or knowledge of ICD-9 and CPT-4 coding techniques.
Knowledge of medical terminology.
Relevant training or education may be considered as experience.
Some college coursework.

Responsibilities

Register patients according to department standards, policies, and procedures to support efficient throughput and a positive patient experience.
Enter and review patient demographic and financial information, resolve registration quality edits and exceptions, and support accurate routing, reimbursement, and denial reduction.
Validate insurance eligibility and coordination of benefits, enter payor information accurately, and confirm coverage details against electronic or telephone eligibility responses.
Complete or update precertifications and authorizations within payor time frames, document them on patient accounts, perform medical-necessity checks, and facilitate diagnosis-order requests when relevant.
Validate and update existing payor data when working in a supporting verification role to help ensure clean claims.
Obtain required registration signatures and ensure consents, regulatory documents, and payment-liability forms are completed and delivered before services when applicable.
Enter comments and data in designated health information system fields and scan insurance cards, identification, eligibility and authorization records, and other required documents; index orders as needed.
Create patient estimates using the Epic Estimates workflow, review estimates with patients, address data errors, and capture electronic signatures.
Request patient-liability payments using departmental scripting and apply discounts according to department standards.
Perform cashier duties for registered patients and other patients making account payments when a centralized cashier is unavailable; complete deposits as directed.
Manage time and resources to support patient throughput and account processing, offer assistance to peers and leaders, and provide flexible float support across Patient Access Services areas.
Assist patients with medical-record requests when assigned.
Partner with case management and nursing services to ensure patient placement and status align with physician orders.
Contribute to operational process improvement and maintain knowledge of department and facility policies and procedures.
Maintain proficiency in technical skills and assigned department functions, including call-rotation duties when required.
Maintain confidentiality of patient and medical information and report compliance variances through appropriate channels.
Respond appropriately to specified disaster or emergency situations and perform other assigned tasks.