Patient Access Representative

Overview

The Patient Access Representative is responsible for collecting patient information, obtaining current insurance information, and verifying insurance coverage. This position creates and maintains accurate electronic health records and gathers consent, privacy, and authorization forms. The Patient Access Representative is responsible for scheduling, canceling, and rescheduling patient appointments for their respective clinic/department. The person in this position should demonstrate excellent customer service skills and help to resolve patient issues in a prompt, professional manner.

Qualifications

EDUCATIONAL REQUIREMENT 

High School diploma or general education degree (GED); or at least six (6) months of specialized training, education, or experience.

 

EXPERIENCE REQUIREMENT 

At least six months experience in a related field and experience with Medicaid, Medicare, and third-party billing and guidelines preferred.

 

COMPUTER SKILLS

An individual should have knowledge of Database software.

 

CERTIFICATES, LICENSES, REGISTRATIONS 

None

 

OTHER SKILLS AND ABILITIES 

None

 

OTHER QUALIFICATIONS

Employee must not and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE).

 

Knowledge of interview techniques and billing office requirements. Knowledge of medical terminology due to the technical nature of the health care process as it relates to access to care, policies and procedures that affect patient flow, patient care, and the revenue process.

 

PHYSICAL DEMANDS  

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear.  The employee must occasionally be able to lift and/or move up to 10 pounds.

 

WORK ENVIRONMENT

The noise level in the work environment is normally moderate.