Patient Access Representative

Patient Access Representative Position Summary Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions. Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process.

Provides a positive first impression of the facility. Reports to the Director or Manager of Department.

Essential Functions

Ensures all required demographic, billing, and clinical data are obtained and accurately entered into the registration system in a timely manner. Distributes and explains forms, documents, and educational handouts to patients and families. Verifies insurance benefits and obtains precertification/authorization as necessary.

Determines and accepts required payments (e.g., co-pays, deductibles) or refers to financial counseling as appropriate. Communicates professionally in-person and by phone; provides clear instructions and excellent customer service. Protects patient privacy and confidentiality in all registration activities. Participates in performance improvement and required education.

Works alternate shifts/areas as needed to support department operations. Performs other duties as assigned. Additional Information Populations Served: Does not treat or provide clinical care to patients. Protected Health Information Accessed: Demographic, Insurance, Financial. Exposure: Occupational exposure to bloodborne pathogens may be present.

Physical Requirements (typical): Frequent keyboard data entry, sitting, audible speech and hearing; frequent reaching and repetitive hand/arm movements; occasional walking, standing, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing, kneeling, running, and higher-force tasks. Vision demands include near/far vision and depth perception (constant), color distinction (constant); smell and taste rarely required.

Occasional exposure to biological and rare exposure to chemical hazards (e.g., dust, gases/vapors/fumes); latex exposure rare. Knowledge, Skills & Abilities Education: High School diploma preferred. Skills: Critical thinking, decisive judgment, and ability to work with minimal supervision in a fast-paced environment. Rapid learning and navigation of multiple software systems.

Effective English communication (read, write, speak, and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.