Patient Access Representative - Registration Admitting Fulltime
Role Overview
The Patient Access Representative serves as a key point of contact for patients by collecting and validating patient information, coordinating scheduling activities, verifying insurance coverage, and supporting accurate registration and billing processes.
This role promotes a positive patient experience through financial counseling, patient engagement, appointment management, and navigation assistance while ensuring compliance with HIPAA regulations and organizational standards.
Full Job Posting
Responsibilities:
- Job Summary:
- The Patient Access Representative serves as a key point of contact for patients by collecting and validating patient information, coordinating scheduling activities, verifying insurance coverage, and supporting accurate registration and billing processes. This role promotes a positive patient experience through financial counseling, patient engagement, appointment management, and navigation assistance while ensuring compliance with HIPAA regulations and organizational standards.
- Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs. Enters accurate patient information into the electronic health record.
- Maintains confidentiality of patient information and complies with HIPAA regulations.
- Correctly transcribes and validates patient orders.
- Schedules, re-schedules, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.
- Verifies and correctly assigns insurance coverages based on eligibility responses.
- Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or outstanding balances.
- Monitors and resolves errors in assigned workqueues.
- Advocates for patient engagement, including activation of MyChart.
- Assists with wayfinding and connecting patient to care.
- Performs additional duties as assigned to support departmental and organizational goals.
- Reports To: Patient Access Supervisor
- Supervises Others: No
- Prepared Date: 11/2024
- Review/Revision Dates: 08/2018, 08/2019, 07/2023, 11/2024
Qualifications:
- Education & Experience:
- High school diploma or GED preferred. In lieu of high school diploma or GED, experience in a related field may be considered.
- Prior healthcare, medical office, or insurance experience preferred.
- Licenses & Certifications:
- Essential Skills:
- Basic data entry and computer skills, including Microsoft Office products.
- Ability to work in a fast-paced metric driven environment that is patient centered.
- Fundamental understanding of KPI’s and thresholds to measure productivity.
- Requirements: High School Diploma/GED
- High School Diploma/GED
Preferred Qualifications
- High school diploma or GED preferred. In lieu of high school diploma or GED, experience in a related field may be considered.
- Prior healthcare, medical office, or insurance experience preferred.
About McLeod Careers Section
Non-profit hospital system serving South Carolina and North Carolina.
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