POSITION SUMMARY

A Patient Access Representative often serves as the first point of contact in ensuring the patient has a smooth patient experience. This role involves efficiently managing the registration process for patients being seen for various outpatient services while maintaining a high level of empathy and professionalism. Responsibilities include verifying patient information, insurance verification and ensuring compliance with healthcare regulations. Excellent communication skills, interpersonal skills and the ability to remain calm under pressure are essential for success in this role. A Patient Access Representative serves as a vital link between patients and the healthcare system, ensuring that patients receive the care they need while navigating complex administrative processes. The role requires a balance of technical skills, empathy, and attention to detail to provide a positive and efficient patient experience.

CORE FUNCTIONS

1. Greet and assist patients and accurately collect and verify patient information, insurance information and medical history.

2. Verify patient’s insurance coverage and eligibility, calculate patient liability estimates, explain and collect patient financial responsibility and provide patients with facilities payment options.

3. Assist patients with questions related to medical bills, payment plans or financial assistance programs.

4. Ensure accurate and confidential handling of medical records and patient information in compliance with HIPAA regulations.

5. Acts as a liaison between patients, medical staff, and administrative teams to facilitate efficient patient flow and address any questions or concerns.

6. Maintain accurate records of patient interactions, registration and insurance details.

7. Precise data entry and verification to avoid errors in patient records and billing.

8. Provides patients with information regarding facility policies, procedures and expectations during their visit.

9. Ability to handle difficult situations, manage conflicts and find solutions to patient concerns.

10. Work in a fast-paced environment with changing priorities and occasionally high-stressed situations.

11. Showing compassion and understanding when interacting with patients who may be experiencing illness or distress.

12. Answer all calls professionally while connecting internal and external calls to relevant departments.

13. Be aware of emergency protocols and procedures, especially in the event of critical situations.

14. Treats everyone with dignity and respect.

15. Attends the monthly department meetings.

16. Completes annual educational requirements.

17. Participates in continuous quality improvement activities.

18. Attends any assigned training