Job Description

Patient Access Representative

Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of orders and services. Participates in Insurance-related tasks including, but not limited to verification, collection of co-payments, and collection of associated paperwork. Ensures compliance with regulatory requirements and hospital policies and protocols. Acts as a liaison between patients, providers, payers, and other related stakeholders for all post-care matters related to account resolution.

Principal Accountabilities: (including but not limited to)

• The Patient Access Representative (PAR) plays a vital role in the patient and family experience, serving as an initial point of contact within our health system
• Securing accurate information,
• Interpreting and communicating patient responsibility
• Obtaining accurate patient identification is essential for the financial and operational success of the organization
• Greeting customers with a smile and address customers by name in a courteous, respectful and professional manner
• Attempting to resolve customer questions and concerns
• Adapting to changes in the work environment
• Meeting shift expectations
• Handling challenging customers
• Obtains and verifies patient information for registration
• Maintains contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of claims
• Requests payment of financial dues from patient or guarantors
• Obtains federally required and hospital related consents in a timely manner
• Reconciles daily bank bags and posts dues collected and/or data entry or charge codes within the financial system.
• Ensures compliance with Health Insurance Portability and Accountability Act (HIPAA) and works in various patient settings and locations
• Performs other related duties as assigned

Required:

• HS Diploma or equivalent
• Ability to lift more than 25lbs if needed

Preferred:

• Customer service experience
• Electronic Medical Record (EMR) experience, preferably EPIC

Relevant Experience:

Minimum of 1+ years of experience in Patient Access, Medical Office, Health Insurance or relevant area