Patient Access Rep Jobs

About The Position

Requirements

• High school diploma or equivalent.
• At least 2 years of healthcare-related or customer service experience; an associate or bachelor’s degree may be accepted in lieu of experience.
• Typing speed of at least 35 words per minute.
• Good communication skills.
• Ability to manage time, work independently, and handle high patient volumes in a fast-paced environment.
• Maintain knowledge of insurance, registration, scheduling, referrals, authorizations, account follow-up, and multiple Patient Access system applications.
• Familiarity with and adherence to applicable state and federal requirements and guidelines, including EMTALA, CMS, HIPAA, and JCAHO.
• Meet the physical requirements described: lifting and carrying up to 25 pounds; standing, walking, sitting, and close eye work as specified.

Nice To Haves

• Knowledge of Medicare, Medicaid, and commercial payers such as HMO and PPO plans.
• Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

• Coordinate, prioritize, and complete patient registration activities from pre-registration through discharge.
• Verify patient insurance and ensure payer requirements are met before or on the date of service.
• Complete registrations accurately according to departmental protocols, policies, procedures, and regulatory requirements.
• Call patients to pre-register or confirm appointments.
• Prioritize work to support optimal reimbursement and reduce financial risk to patients and the hospital.
• Inform patients of financial liability and make appropriate efforts to collect amounts due; document responses when payment is not collected.
• Identify patients who need early financial counseling and refer uninsured patients to a financial counselor as appropriate.
• Assist patients, guarantors, and families with insurance questions, escalating unaddressed benefit concerns to the department Financial Counselor.
• Maintain confidentiality of patient, employee, and other protected information.
• Search databases to determine whether a patient is new or established; verify established-patient information or enter information for new patients before discharge.
• Reconfirm patients’ dates of birth and legal name spellings.
• Obtain required signatures and scan appropriate registration documents, patient identification, and insurance cards.
• Distribute registration paperwork according to departmental procedures.
• Schedule procedures and follow-up appointments.
• Communicate hospital financial policies to patients.
• Maintain required monthly assurance accuracy rates and departmental productivity, quality, and collection standards.
• Communicate issues and concerns professionally, respond to verbal and written requests in a timely manner, and participate in improvement ideas and solutions.
• Perform duties in support of the EHC Patient Access Mission Statement.