Senior Patient Access Representative | Medical Equipment

Logan Health•Kalispell, MT

About The Position

The Senior Patient Access Representative completes patient registration duties and provides administrative support to assigned areas. The role collects and validates patient demographic and insurance information, verifies authorizations and referrals when required, and enters information into the registration system. It informs patients of estimated liabilities, collects payments, and identifies patients who may need financial assistance, referring them to financial counseling as appropriate. The position supports Logan Health’s mission of quality, compassionate care for all and its vision of reimagining health care through connection, service, and innovation. The representative prioritizes registrations according to patient acuity as determined by clinical staff and department protocol; interviews patients or family members; verifies information from previous visits or pre-registration; uses insurance verification software; and calculates and communicates out-of-pocket liabilities. The role processes current and prior-balance payments in accordance with cash management and posting policies, maintains knowledge of payer requirements and accepted insurance plans, and supports efficient operations in assigned areas. It also communicates customer-service issues and process-improvement opportunities to leadership, meets productivity and quality requirements, maintains relevant insurance and contract knowledge, and maintains regular, consistent attendance as scheduled. Schedules are set to meet the position’s and organization’s needs and may be adjusted. Logan Health operates 24 hours a day, seven days a week. Employment offers are contingent on pre-employment screening, including criminal background, reference, drug, health and immunizations, and physical-demand reviews or screenings.

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; attention to detail; self-direction; critical-thinking skills; and ability to prioritize and work both independently and as part of a team.
Ability to act with integrity and kindness and exhibit empathy.
Commitment to teamwork and maintaining confidentiality as needed.
Excellent verbal and written communication skills, including the ability to communicate effectively with varied audiences.
Interpersonal skills to handle sensitive and confidential situations with tact, professionalism, and diplomacy.
Computer skills, including working knowledge of Microsoft Office Suite and ability to learn other software as needed.

Nice To Haves

Previous 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, financial clearance), insurance verification, billing, or as a certified medical assistant.

Responsibilities

Complete patient registration duties and provide administrative support to assigned areas.
Prioritize and complete registrations according to patient acuity as determined by clinical staff and department protocol.
Interview patients or family members to gather demographic, insurance, and visit-specific information, verify information from previous visits or pre-registration, and accurately enter critical data.
Verify insurance eligibility and benefits using insurance verification software, and calculate and communicate 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 and refer them to financial counseling according to department procedures.
Maintain knowledge of Medicare, Medicaid, third-party payer requirements, insurance plans requiring authorization or referral, and accepted insurance plans.
Communicate customer-service issues and process-improvement opportunities to leadership.
Meet productivity and quality requirements and take ownership of work to provide excellent service.
Develop and maintain the knowledge and skills needed to identify insurance plans correctly in systems and understand contract requirements.
Maintain regular and consistent attendance as scheduled by department leadership.