Patient Access Representative
About The Position
The Patient Access Representative welcomes and assists patients and their representatives in person or by telephone, helping ensure an exceptional initial hospital experience. The role collects demographic, health, and insurance information, obtains required signatures, and supports accurate billing and reimbursement. It also provides professional, compassionate service to patients and guests. The position is onsite at 187 Grand View Dr., Cobleskill, NY. It includes 4–6 weeks of on-the-job training; training hours will follow the work schedule or be discussed on the first day of employment.
Requirements
- High school diploma or GED.
- At least 1 year of customer service experience.
- Ability to work onsite at the Cobleskill, New York facility.
- Ability to work 8:00 a.m.–4:30 p.m., Monday through Friday.
- Reliable transportation and a valid U.S. driver’s license.
- Must be at least 18 years old.
- Ability to communicate effectively with adults and groups at all organizational levels.
- Ability to build rapport, develop trust, maintain working relationships, and represent CRH positively in internal and external meetings.
- Strong time-management and organizational skills.
- Effective communication and interpersonal skills, including customer service skills.
- Basic keyboarding skills.
- Ability to stand for long periods, up to 10 hours, while using a workstation on wheels and a phone/headset.
Nice To Haves
- At least 1 year of experience in scheduling and authorizations.
- Healthcare experience and clinical knowledge.
- Ability to work night and weekend hours.
Responsibilities
- Communicate with patients and families in person or by phone to complete registration, collect demographic and health information, and verify insurance eligibility and benefits.
- Use computer systems to enter or verify patient data in real time, ensuring accuracy and completeness.
- Gather clinical information and process referrals, pre-certifications, pre-determinations, and pre-authorizations according to insurance plan requirements.
- Verify insurance coverage and benefits, prepare price estimates, and perform reverifications as needed.
- Collect patient co-pays when appropriate and discuss patients’ out-of-pocket financial obligations.
- Identify outstanding balances from previous visits and attempt to collect amounts due.
- Collect information directly from patients and referring provider offices to confirm and create appointments for services before hospital discharge.
- Respond compassionately and respectfully to patient and caregiver inquiries, including sensitive topics.
- Generate, review, and analyze patient data reports and follow up on issues and inconsistencies.
- Maintain current knowledge of registration requirements for Main Admitting, OP Registration, ED Registration, Maternity, Rehabilitation, and other areas.
- Obtain required patient or representative signatures to protect the hospital’s interests.
- Provide guests with a professional, high-quality patient experience.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution.
- $2,000 sign-on bonus for external applicants only.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
