Patient Access Representative

Overview

The Patient Access Representative is responsible for providing efficient and courteous service to patients for registration and scheduling within established policies and procedures; is responsible for promptly greeting patients and visitors and assisting in directing the flow; is responsible for posting accounts daily.

Responsibilities

• Greets patients courteously, determines their needs, and offers assistance.

• Registers patients by performing necessary procedures such as preparation of records, reports, notices, service charge slips, and payor information.

• Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to the immediate supervisor.

• May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments.

• Answers inquiries related to patient accounts and advises patients regarding insurance benefits.

• Receives all payments and deposits, issues receipts for monies received, and maintains proper accounting of all funds received.

• Posts charges daily to the appropriate patient accounts.

• Posts payments to patient accounts daily.

• Contacts insurance carriers and agencies to obtain precertification for ancillary, admission, and surgical procedures.

• May transport patients in wheelchairs.

• Operates various office equipment including copiers, fax machines, and other assigned equipment.

• Operates communication systems, including placing and answering telephone calls, paging or contacting staff, and maintaining appropriate records.

• May serve as a general receptionist for the clinic, providing non-technical information regarding clinic services or referring inquiries to the appropriate person.

• Makes and maintains appointment schedules for clinic physicians.

• May obtain required signatures on reports and records related to release of information according to clinic policies.

• May assist physicians and nursing personnel as required.

• Contacts patients, physicians, or others for information necessary to properly complete insurance or other billing requirements.

• Maintains files according to established procedures for efficient clinic operation, including patient charts.

• Compiles periodic and statistical reports and other data as directed.

• Maintains the work area in a clean and safe manner.

• Performs other related duties as assigned.

• Complies with all policies and standards.

Qualifications

Minimum Education: 

• High School diploma or equivalent required.  Associate’s degree preferred.

Minimum Work Experience:  

• High School Diploma or Equivalency required.
• Two years experience in healthcare registration preferred
• Excellent verbal, presentation and written communication skills.

Required Skills, Knowledge, and Abilities:  

• Ability to communicate in English, both orally and written.
• Ability to work independently within general guidelines.
• Ability to work well with others in a calm, friendly manner in a high volume, high stress environment.
• Ability to remain focused amid frequent interruptions.

Required to comply with OSHA regulations for the N95 respirator training and fit testing. (job classifications that require fit testing)