Patient Access Rep (FT) - Seacoast

Job description

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.
Key Responsibilities:
• 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:
• N/A

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