Job details

Patient Access Representative

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Overview

You are the first face that patients see, and you set the tone for a personable, positive experience. In short, you are the face of Legacy.

As we strive to fulfill our mission of making life better for others, we need caring and capable individuals to assist patients in every aspect of their health care journey. As a Patient Access Representative, you will use your strong communication and interpersonal skills to collect insurance and other information from patients, help patients and families determine financial responsibilities, collect co-payments, and obtain required legal documentation for state and federal compliance regulations. Your ability to create accurate medical and financial records will benefit patients as well as medical professionals and staff.

Responsibilities

The Patient Access Representative is the primary non-clinical contact for all hospital-based patient visits. Greets, registers, checks-in and admits patients depending on scope and service line. Key duties include the collection of demographics, medical providers involved in the patient’s care, medical decision makers, the verification of insurance/benefits, and determination of financial responsibilities. Assists patients and their families in determining active insurance coverage and provides information on accessing financial and insurance resources. Offers self-pay information and discounts as appropriate. Collects appropriate copayments, co-insurances, deposits and payments. Works in collaboration with most Revenue Cycle departments and each hospital’s units/departments to create accurate medical and financial records. Collects and provides required legal documentation to meet State and Federal compliance regulations.

Qualifications

Education:

High School diploma or equivalent required. A minimum of two years college education including satisfactory completion of college level Health Records coursework preferred.

Experience:

A minimum of one year of healthcare experience or equivalent education in at least one of the following areas required: Patient Access, Medical Records/Health Information or applicable clerical support experience. Six months customer service experience required. Previous registrar and third-party payor experience preferred. An understanding of health plan and benefit structures preferred.

Skills:

Effective written and verbal communication skills.
Critical thinking and problem-solving skills required.
Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.
Demonstrated effective interpersonal skills which promote cooperation and teamwork.
Ability to withstand varying job pressures and organize/prioritize related job tasks.
Ability to perform multiple tasks at the same time.
Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner.
Ability to deal with people in emergent and/or stressful situations.
Ability to identify alternative means of communication as needed.
Ability to adapt to change.
Keyboard skills and ability to navigate electronic systems applicable to job functions.
Ability to maneuver through several applications including electronic medical records, Microsoft Office applications, different software, website, and databases.
Demonstrated understanding of complex collection issues.
Demonstrated knowledge of multi-payor systems, and understanding and applying e-coverage results preferred.
Demonstrated knowledge of billing/collection, past balances, deposits and knowing State and Federal rules and regulations preferred.
Ability to understand and adhere to EMTALA (Emergency Medical Treatment and Labor Act) guidelines.
Able to communicate patient financial communication, offer financial aid services, educating patients on eligibility and in and out of network status.
Ability to enroll patients into Presumptive Medicaid services – which entails a detailed questionnaire with the patient to determine eligibility
Knowledge of medical terminology.

LEGACY’S VALUES IN ACTION:

Follows guidelines set forth in Legacy’s Values in Action.

Equal Opportunity Employer/Vet/Disabled

Pay Range

USD $21.97 - USD $29.75 /Hr.

Average salary estimate

$53741.5 / YEARLY (est.)

min

max

$45673K

$61810K

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What You Should Know About Patient Access Representative, Legacy Health

As a Patient Access Representative at Legacy in Portland, you will play a vital role in providing an exceptional experience for our patients from the moment they walk through the door. Your warm and welcoming demeanor will help set a positive tone as you assist patients with their insurance information, financial responsibilities, and necessary legal documentation. By utilizing your strong communication and interpersonal skills, you will be an invaluable resource for both patients and staff, ensuring the accurate collection of medical and financial records. Your main responsibilities include greeting and registering patients, verifying insurance and benefits, determining financial obligations, and collaborating closely with various Revenue Cycle departments. You will also provide essential information on financial resources and establish clear lines of communication, creating a comforting atmosphere during often stressful times. Our ideal candidate will have at least one year of healthcare experience or equivalent education and a strong customer service background. In this fast-paced role, your ability to juggle multiple tasks while maintaining a calm and professional demeanor is key. By embodying our mission of making life better for others, you will ensure that each patient receives the personalized care they need to navigate their healthcare journey with confidence and clarity. Join us at Legacy, where your contributions are meaningful and appreciated, creating a ripple effect of wellness in our community.

Frequently Asked Questions (FAQs) for Patient Access Representative Role at Legacy Health

What are the main responsibilities of a Patient Access Representative at Legacy?

The Patient Access Representative at Legacy is tasked with greeting and registering patients, collecting necessary insurance and demographic information, verifying coverage, and determining financial responsibilities. This role ensures that patients have a compassionate liaison who aids them in navigating their healthcare experience.