Patient Access Representative

About This Role

This role is responsible for the initial patient experience, handling registration, admissions, and related administrative tasks. It involves collecting and validating patient information, requisitioning orders and services, and managing insurance-related duties such as verification and co-payment collection. The position suits an individual with strong communication and organizational skills who can provide excellent customer service in a healthcare setting.

Responsibilities

• Register patients and perform all registration-related functions, including explaining and obtaining necessary patient consents and authorizations completely and timely
• Collect financial paperwork (e.g., patient responsibility statement) and co-payments as required
• Communicate effectively with patients to assist in access to care by answering telephone and other incoming communications in a timely and customer-service oriented manner
• Reply to inquiries, patient needs for information, and other parties clearly and timely; follow up with inquiries to the responsible party if information is not readily available
• Resolve all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person
• Perform on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems
• Schedule appointments for outpatient clinics and procedures as needed
• Obtain prior health insurance authorization for outpatient procedures and inpatient stays as needed
• Educate each patient with pre-exam and, if necessary, post-exam requirements within scope
• Organize, generate, and distribute patient reminders, results, and recall letters
• Establish files, maintain information, and scan medical records in a timely and organized manner
• Ensure the accuracy of medical record documentation by performing a quantitative and qualitative audit
• Manage, direct, and respond to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls, and forward queries to the appropriate staff
• Attend and provide feedback for departmental staff meetings
• Role model the principles of Family Hospital Management and Organizational Values
• Perform other duties as assigned on department and organizational level

Requirements

• High School diploma or GED required
• BLS certification required
• Excellent oral and written communication and interpersonal skills
• Problem-solving abilities
• Professional and positive demeanor
• Proficiency in Microsoft Office and data entry systems