Patient Access Rep

SUMMARY

The Patient Access Representative serves as the first point of contact for patients entering the healthcare facility and plays a critical role in ensuring the smooth and efficient operation of the patient registration and financial intake process. This role is responsible for gathering accurate patient information, verifying insurance coverage, and scheduling appointments all while effectively managing patient interactions to ensure a positive experience. The Patient Access Representative will work closely with healthcare providers, insurance companies, and patients to ensure all necessary information is accurately documented for billing and insurance purposes.

ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)

• Greet patients and verify personal, financial, and insurance information for accuracy.
• Collect and input demographic and insurance details into the Electronic Health Record (EHR) system.
• Ensure all required forms are completed accurately and in a timely manner.
• Verify patient insurance coverage and eligibility before appointments or procedures.
• Obtain prior authorization for procedures or services as required by insurance providers.
• Resolve discrepancies in insurance or coverage information with patients or insurance companies.
• Schedule patient appointments based on physician availability and patient needs.
• Provide patients with necessary pre-appointment instructions and information.
• Confirm appointments and assist with rescheduling as necessary.
• Inform patients about co-pays, deductibles, and insurance benefits before service delivery.
• Communicate financial responsibility expectations to patients.
• Assist patients with payment options, setting up payment plans, and financial assistance programs as necessary.
• Act as a liaison between patients, healthcare providers, and insurance companies.
• Address patient inquiries and concerns regarding appointments, billing, and insurance coverage.
• Handle sensitive patient information with confidentiality, adhering to HIPAA regulations.
• Collaborate with clinical and administrative staff to ensure a seamless patient experience.
• Support the team in resolving any operational issues related to patient access.