Patient Access Rep - Outpatient Registration

About This Role

Serve as a Patient Access Representative, courteously greeting patients and guests, scheduling appointments, completing check-in processes, and accurately gathering patient identification and demographic data. This role is crucial for ensuring accurate reimbursement and maintaining patient confidentiality.

Responsibilities

• Greet patients and guests in a courteous manner via telephone or in person
• Initiate scheduling appointments or completing the check-in/admission process
• Obtain and verify accurate identification and demographical data for patient medical records
• Perform point-of-service collections, complete patient registration, and admission processes
• Verify insurance via electronic verification, telephone, or web application
• Provide excellent customer service to all patients, guests, and family members
• Create, activate, and complete patient scheduling, clinic registration, or hospital admission processes
• Ensure all required forms are completed and other paperwork/documents are gathered and accurate
• Efficiently and accurately gather and input patient/guarantor demographic and financial information
• Explain insurance benefits and collect co-pays, deductibles, and self-pay portions due

Requirements

• Computer skills and dexterity required for data entry and retrieval of information
• Effective verbal and written communication skills
• Proficiency with Windows-style applications, various software packages specific to role and keyboard
• Strong interpersonal skills
• Clerical skills and technical knowledge of healthcare insurance benefits, payor guidelines on referral and authorization processes, and current knowledge of Federal, State and Local billing regulations
• Ability to effectively present information and respond to questions from patients and customers
• Ability to solve practical problems and deal with high stress situations while maintaining professionalism
• Good organizational, time management, and conflict resolution skills
• Excellent decision-making skills; good analytical skills with a strong attention to detail

Qualifications

• High school diploma or equivalent
• Minimum of 1 year of experience in a hospital, clinic, medical office, business services/revenue cycle, or other customer service-related environment. Experience may include front line registration, financial counseling, banking, retail, or similar roles involving direct customer or patient interaction.

Nice to Have

• Associate’s Degree
• Certification in Healthcare Access Manager (CHAM)
• Certification in Healthcare Access Associate (CHAA)
• Certification as a Medical Assistant (or other medical specialty-based certification)

Skills

* Required skills