Patient Access Representative

Lifepoint Health•Madison, NJ

About The Position

Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. Interviews patients to obtain pertinent account information and verifies insurance coverage. The role ensures registration information and required documentation are complete, communicates with patients and care teams about admissions, and helps handle insurance authorizations and patient payments.

Requirements

High school diploma or equivalent, or three years of directly related experience in place of the required education.
Computer experience required.

Nice To Haves

Billing or collection experience preferred.

Responsibilities

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