Patient Access Representative 3
Core
Oversees patient registration and financial clearance activities to facilitate reimbursement for clinical services.
Role type
Senior Patient Access Representative
Builds
Financial clearance and reimbursement workflows for the Department of Clinical Access
Domain
Healthcare administration / Patient access
Required skills
Insurance verification, demographic data entry, financial clearance, patient notification, authorization management, record maintenance, team leadership, policy adherence
Preferred skills
Learning agility, technical proficiency, communication
Technologies
Office software, relevant computer applications
Responsibilities
Obtain and enter demographic, financial, and clinical information for patient accounts; Verify insurance eligibility and confirm coverage benefits; Contact patients or physicians to obtain missing insurance information; Obtain pre-certifications and referrals; Notify patients of liabilities and collect funds; Maintain accurate documentation in the system of record; Serve as a lead resource for lower-level representatives; Recommend performance enhancement approaches.