Senior Patient Access Representative | Medical Equipment

Logan Health Medical Center•Kalispell, MT

About The Position

This position completes patient registration duties and provides administrative support for assigned areas. It collects and validates patient demographic and insurance information, verifies authorizations and referrals as required, and enters information into the registration system. The representative informs patients of estimated liability at the time of service, collects patient payments, identifies patients who may need financial assistance, and refers them to financial counseling as appropriate. The role supports Logan Health’s mission of quality, compassionate care for all and its vision of reimagining health care through connection, service, and innovation. The position prioritizes registrations according to patient acuity as determined by clinical staff and department protocol. It gathers and verifies patient or family-provided information, confirms insurance eligibility and benefits, calculates and communicates out-of-pocket liability, and processes payments in accordance with cash management and posting policies. The representative maintains knowledge of payer requirements and accepted insurance plans, supports efficient operations, and communicates customer-service concerns and process-improvement opportunities to leadership. Schedules are set to meet the needs of the role and organization and may be adjusted as needed.

Requirements

Related coursework beyond high school or experience in a complex administrative support position.
At least one year of experience in a customer-service-focused position.
Excellent organizational skills and attention to detail; ability to self-start, think critically, set priorities, and work both independently and as part of a team.
Commitment to teamwork and maintaining confidentiality as needed.
Excellent verbal and written communication skills, including the ability to communicate effectively with varied audiences.
Strong interpersonal skills and the ability to handle sensitive and confidential situations with tact, professionalism, and diplomacy.
Ability to act with integrity and kindness and exhibit empathy.
Computer skills, including working knowledge of Microsoft Office Suite and ability to learn other software as needed.
Ability to meet the position’s physical demands, subject to pre-employment physical demand review/screening.

Nice To Haves

Previous work experience in registration, financial clearance, or patient financial services, with strong working knowledge of healthcare insurance and benefit programs.
Associate’s or bachelor’s degree.
Knowledge and understanding of medical terminology and medical coding.
Experience in patient access (scheduling, registration, or financial clearance), insurance verification, billing, or as a certified medical assistant.

Responsibilities

Prioritize and complete registrations according to patient acuity and department protocol.
Interview patients or family members to gather demographic, insurance, and visit-specific information; verify information from prior visits or pre-registration.
Collect and enter accurate, critical patient data.
Use insurance verification software to verify eligibility and benefits.
Calculate and communicate patient out-of-pocket liability as appropriate.
Collect and process payments for current services and previous balances in accordance with cash management and posting policies.
Identify self-pay patients who may need assistance and refer them to financial counseling according to department procedures.
Maintain knowledge of Medicare, Medicaid, and third-party payer requirements, guidelines, and policies; plans requiring pre-authorization or referral; and accepted insurance plans.
Identify insurance plans correctly in systems and understand contract requirements to ensure accurate insurance information.
Communicate customer-service issues and process-improvement opportunities to leadership.
Meet productivity and quality requirements and take ownership of work to provide excellent service.
Provide administrative services that support effective and efficient operations in assigned areas.
Maintain regular and consistent attendance as scheduled by department leadership.
Support Logan Health’s mission, vision, and values.