Patient Access Representative - Orthopedics - Colonial Heights

VCU Health•Colonial Heights, VA
•$17 - $24

About The Position

The Patient Access Representative delivers high-quality customer service to patients of all ages, their families, visitors, medical staff, clinicians, and coworkers. The role handles business functions in an assigned clinical department, including reception, appointment scheduling, and patient registration for appointments and procedures. It secures appropriate patient information, maintains accurate registration data, validates insurance eligibility, collects co-payments, and supports financial counseling and financial clearance as needed. The representative welcomes patients and visitors, answers telephone inquiries, supports clinic traffic flow, and communicates clearly and respectfully. The role verifies and updates demographic and insurance information, collects payments, follows cash-handling procedures, and manages referrals and authorizations. It also schedules appointments, transcribes physician orders, coordinates pre-operative testing and paperwork, maintains patient records, obtains required signatures and forms, and scans patient medical documentation. The position requires a high school diploma or equivalent and demonstrated experience using computers, Microsoft Office applications, and web-based platforms. Preferred qualifications include an associate or bachelor’s degree in a related field and experience with medical insurance, healthcare systems, appointment scheduling, healthcare settings, and medical terminology. The work is performed in a general office environment and may involve high stress, fluctuating workloads, interruptions, and periods of working alone. Compensation ranges from $16.75 to $24.12; actual offers depend on relevant experience, credentials, and qualifications.

Requirements

  • High school diploma or equivalent.
  • Demonstrated experience using computers, Microsoft Office applications, and web-based platforms.
  • Ability to perform daily activities with minimal supervision and be self-directed in routine activities.
  • Ability to meet the physical demands described, including lifting and carrying up to 50 pounds, pushing and pulling up to 50 pounds, and performing the listed movements and work positions.

Nice To Haves

  • Associate or bachelor’s degree in accounting, finance, business administration, healthcare administration, or a closely related field from an accredited program.
  • Work experience with medical insurance, HMO and managed-care plans, electronic medical billing/order-entry/registration systems, and appointment scheduling.
  • Previous work experience in a healthcare setting and knowledge of medical terminology.
  • Depending on assignment, ability to work off-shifts and/or weekends and holidays.

Responsibilities

  • Welcome patients and visitors, answer telephone inquiries, communicate courteously and clearly, and assist with clinic traffic flow.
  • Collect patient co-payments and deposits accurately, verify and update registration and insurance information, and follow cash-handling, reconciliation, and deposit procedures.
  • Verify insurance coverage and plan requirements; obtain, secure, and correctly link referrals and authorizations for procedures, tests, injections, and surgeries.
  • Communicate referral and authorization requirements, provide pre-payment guidance to self-pay patients, offer financial assistance, prepare cost estimates, explain payment expectations, and document interactions in patient accounts.
  • Schedule clinic appointments using medical records software or communication platforms, accurately transcribe physician orders into appropriate systems, and coordinate pre-operative testing and paperwork when appropriate.
  • Maintain patient medical records, prepare charts before visits, assist with chart completion after visits when applicable, and ensure appointments are recorded as arrived, no-show, or cancelled by the end of the appointment day.
  • Obtain signatures and complete required forms, including forms required by managed care and other insurance plans.
  • Obtain and scan appropriate patient medical documentation.
  • Notify a supervisor about issues involving violations of VCUHS policies or procedures.
  • Perform other assigned duties and participate in special projects supporting VCUHS and the department mission.
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