Job Summary

A Patient Access Representative serves as the first point of contact for patients within a healthcare facility, managing patient admissions, insurance verification, and ensuring smooth patient flow. This role combines excellent customer service skills with a solid understanding of healthcare administrative processes to facilitate patient access to medical services. Responsibilities include patient registration, verifying insurance coverage, collecting co-pays, scheduling appointments, and maintaining accurate patient records.

Responsibilities

Patient Registration

• Greet patients and visitors professionally and courteously.
• Obtain and verify patient demographic information and insurance details.
• Accurately input patient information into the electronic health records system.

Insurance Verification

• Verify patient insurance coverage and eligibility.
• Explain insurance benefits, co-pays, and deductibles to patients.
• Assist patients with completing insurance forms and other necessary documentation.

Appointment Scheduling

• Schedule and confirm patient appointments.
• Coordinate with medical staff to ensure timely and efficient scheduling.
• Manage appointment cancellations and rescheduling as needed.

Billing and Payments

• Collect co-pays and other patient payments at the time of service.
• Provide patients with information regarding billing processes and payment options.
• Assist with resolving billing issues and discrepancies.

Patient Assistance

• Answer patient inquiries in person and over the phone.
• Provide information about hospital or clinic services, locations, and procedures.
• Assist patients with mobility needs, including providing wheelchairs or other assistance.

Record Keeping

• Maintain accurate and up-to-date patient records.
• Ensure all patient information is kept confidential and complies with HIPAA regulations.
• Prepare and distribute patient documentation as required.

Requirements and Skills

• Knowledge of medical terminology and healthcare administrative processes.
• Proficiency in using electronic health records systems and other healthcare software.
• Strong organizational skills with the ability to multitask and prioritize effectively.
• Excellent customer service and interpersonal skills.
• Attention to detail and accuracy in data entry and record-keeping.
• Ability to handle sensitive and confidential information with discretion.

Education, Experience, and Licensing Requirements

• High school diploma or equivalent; an associate’s degree in healthcare administration or a related field is preferred.
• Certification as a Patient Access Representative (e.g., CHAA - Certified Healthcare Access Associate)