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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient registration and insurance verification processes, ensuring compliance with payor-specific rules and effective communication with patients and healthcare staff.
Highest-signal resume keywords
Patient Access ExperienceInsurance VerificationEMR DocumentationCustomer Service OrientationBasic Math Proficiency
About the role
Key responsibilities & impact- Perform pre-registration and insurance verification for inpatient and outpatient services
- Follow scripted benefits verification and pre-certification format in the EMR and document results
- Contact patients to confirm or obtain missing demographic information, quote or collect patient cost share, and provide appointment instructions
- Assign insurance plans accurately and perform electronic eligibility confirmation
- Complete Medicare Secondary Payor Questionnaire as applicable
- Calculate patient cost share and arrange payment or collection via phone
- Research patient visit history to ensure compliance with payor-specific rules, including the Medicare 72-hour rule
- Communicate with physicians and case managers to resolve authorization or referral issues
- Document benefit and authorization information in standard EMR screens and notes
- Implement system downtime procedures when necessary
- Practice and adhere to the organization’s Code of Conduct and Mission and Value Statement
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or GED required
- 1 or more years of experience in hospital Patient Access required
- Verbal and written communication
- Customer service orientation
- Basic math and PC proficiency
- Ability to work effectively with patients, staff, and external parties
- No license, certification, or registration required
Benefits
Comp & perks- PTO
- 401(k)
- Medical plans
- Dental plans
- Comprehensive benefits package
- Total benefits and compensation package designed to support needs inside and outside the work environment
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Pre-RegistrationInsurance VerificationBenefits VerificationCost Share CalculationElectronic Eligibility ConfirmationMedicare Secondary Payor QuestionnaireCompliance ResearchSystem Downtime Procedures
Soft Skills
Verbal CommunicationWritten CommunicationCustomer ServiceInterpersonal Skills
Tools & Technologies
EMR Systems
Industry Keywords
Patient AccessHealthcare ComplianceAuthorization IssuesReferral Issues