Patient Access Representative I

Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of orders and services. Participates in Insurance-related tasks including, but not limited to verification, collection of co-payments, and collection of associated paperwork. Ensures compliance with regulatory requirements and hospital policies and protocols. Acts as a liaison between patients, providers, payers, and other related stakeholders for all post-care matters related to account resolution.


Principal Accountabilities:

1. Obtains and verifies patient information for registration.
2. Maintains contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of claims.
3. Requests payment of financial dues from patient or guarantor.
4. Obtains federally required and hospital related consents in a timely manner.
5. Reconciles daily bank bags and posts dues collected and/or data entry or charge codes within the financial system.
6. Ensures compliance with Health Insurance Portability and Accountability Act (HIPAA) and works in various patient settings and locations.
7. Performs other related duties as assigned.

Qualifications

Required:
1. High School Diploma or equivalent.
2. 0-3 years of experience in Patient Access, Medical Office, Health Insurance or relevant area.

Preferred:
1. Bachelor's degree in Business, Accounting, Medical Administration or related field.