Patient Access Representative

• Verify and collect patient demographic and insurance information through direct data entry into the electronic medical record
• Interview patients or authorized representatives to obtain information for requested services
• Document patient discussions and registration/scheduling activities in the encounter
• Navigate web-based products and system applications for registration and scheduling
• Identify patients and enter clinical, demographic, and insurance information accurately
• Explain scheduled procedures and necessary patient instructions
• Document patient contact, provider orders, insurance verification, financial education, and payments
• Explain legal forms and obtain required signatures
• Apply healthcare compliance standards, including EMTALA and HIPAA privacy/confidentiality regulations
• Verify insurance carriers, eligibility, benefits, and authorization requirements
• Complete notifications and documentation to secure insurance authorizations
• Apply basic CPT and ICD-10 diagnosis coding documentation knowledge
• Educate patients about insurance coverage and financial assistance programs
• Collect patient financial liabilities and perform payment entry and cash reconciliation
• Perform PBX switchboard functions, answer and route calls, page codes and fire alarms, and handle assigned call volumes
• Support clinical departments with registration, scheduling, patient account data entry, provider order requirements, insurance coverage, and financial assistance questions
• Report safety incidents through the Midas/RDE tool and attend safety training
• Monitor the work environment for safety issues and complete required training