Patient Access Representative

Legacy Health•Tualatin, OR

8h•Onsite

About The Position

As a Patient Access Representative at Legacy, you are the first point of contact for patients, creating a welcoming and positive experience. This role is crucial in fulfilling the mission of making life better for others by guiding patients through their healthcare journey. Responsibilities include collecting insurance and essential information, helping patients and families understand financial responsibilities, collecting co-payments, and ensuring legal documentation for state and federal compliance. Your meticulous attention to detail in maintaining accurate medical and financial records is vital for both patients and medical teams. The position is based at Legacy Meridian Park Medical Center, a full-service medical center in the South Metro area known for its community hospital feel and specialized services like stroke, chest pain, surgery, cancer care, orthopedics, a birth center, and a breast health center.

Requirements

High School diploma or equivalent required.
A minimum of one year of healthcare experience or equivalent education in at least one of the following areas: Patient Access, Medical Records/Health Information or applicable clerical support experience.
Six months customer service experience required.
Effective written and verbal communication skills.
Critical thinking and problem-solving skills required.
Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.
Demonstrated effective interpersonal skills which promote cooperation and teamwork.
Ability to withstand varying job pressures and organize/prioritize related job tasks.
Ability to perform multiple tasks at the same time.
Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner.
Ability to deal with people in emergent and/or stressful situations.
Ability to identify alternative means of communication as needed.
Ability to adapt to change.
Keyboard skills and ability to navigate electronic systems applicable to job functions.
Ability to maneuver through several applications including electronic medical records, Microsoft Office applications, different software, website, and databases.
Demonstrated understanding of complex collection issues.
Ability to understand and adhere to EMTALA (Emergency Medical Treatment and Labor Act) guidelines.
Able to communicate patient financial communication, offer financial aid services, educating patients on eligibility and in and out of network status.
Ability to enroll patients into Presumptive Medicaid services – which entails a detailed questionnaire with the patient to determine eligibility.
Knowledge of medical terminology.

Nice To Haves

Two years college education including satisfactory completion of college level Health Records coursework preferred.
Previous registrar and third-party payor experience preferred.
An understanding of health plan and benefit structures preferred.
Demonstrated knowledge of multi-payor systems, and understanding and applying e-coverage results preferred.
Demonstrated knowledge of billing/collection, past balances, deposits and knowing State and Federal rules and regulations preferred.

Responsibilities

Greeting, registering, checking in, and admitting patients according to scope and service line.
Collecting patient demographics, identifying medical providers involved in care, and documenting medical decision-makers.
Verifying insurance coverage and benefits, and determining patient financial responsibilities.
Assisting patients and families in understanding active insurance coverage and providing guidance on accessing financial and insurance resources.
Offering self-pay information and applicable discounts.
Collecting copayments, coinsurances, deposits, and payments as appropriate.
Collaborating with Revenue Cycle departments and hospital units to ensure accurate medical and financial records.
Collecting and submitting required legal documentation to meet State and Federal compliance regulations.