Patient Access Representative
Core
Registers patients (Inpatient, Observation, Emergency, Outpatients) to obtain demographic, insurance, and financial information; verifies coverage and collects payments.
Role type
Patient Access Representative
Builds
Hospital registration and financial clearance workflows
Domain
Healthcare / Hospital Administration
Required skills
Patient registration, insurance verification, financial clearance, data entry, payment collection, referral management, compliance documentation
Preferred skills
Experience with hospital information systems, knowledge of Medicare/Medicaid, patient advocacy coordination
Technologies
Hospital information systems, online tools, telephone
Responsibilities
Greet and direct patients; interview patients to obtain insurance and financial data; enter data into hospital computer system; verify demographic and insurance information; collect co-payments and process payments; complete financial clearance reports; obtain referrals and confirm primary care physician; explain consent and insurance forms; obtain patient signatures on required documents; generate patient registration records and identification bracelets; coordinate with Financial Counselors and Patient Advocates; track Medicare days and private room differentials; negotiate payment balances prior to discharge.