Patient Access Representative I

The Patient Access Representative I is responsible for accurately registering patients and creating patient encounters in the hospital information system. This role gathers, verifies, and updates patient demographic and insurance information; explains required forms; obtains signatures; and collects co-pays, deductibles, and other patient balances. The Representative ensures timely, accurate documentation, protects patient confidentiality, and supports positive patient experience in compliance with hospital policies and HIPAA requirements.

ESSENTIAL JOB FUNCTIONS (including, but not limited to)

• Notify and locate patients for registration using the hospital pager or tracking system.
• Verify and update patient demographics, insurance information, and eligibility while ensuring HIPAA compliance.
• Accurately enter and document patient information, including comments and case-specific details, in the hospital information system.
• Obtain required patient consents, signatures, and acknowledgments.
• Identify and correct errors or omissions in demographic or insurance data.
• Collect co-pays, deductibles, and other patient payments; issue receipts; and ensure funds are secured in accordance with hospital policy.
• Assist with insurance verification and communicate with patients regarding financial responsibility.
• Prepare patient charts in advance to ensure required documentation is complete and available.
• Retrieve daily surgery charts and scan documentation into the system as directed.
• Maintain timeliness and accuracy of all work prior to the end of each shift.
• Serve as backup for other Patient Access roles as needed.
• Maintain a professional, positive demeanor in all patient and staff interactions.
• Comply with all federal and state privacy regulations, always recognizing and protecting PHI.
• Support SHOLA’s culture of exceptional patient satisfaction and accountability.
• Performs special projects and other duties as assigned.

Disclaimer: The statements above are intended to describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required. Additional duties may be assigned as needed to support the organization’s ongoing operations and mission.

Education

• High school diploma or equivalent required. 

Experience

• Minimum two (2) years of experience in a hospital or physician office setting preferred (registration, patient access, or insurance verification).
• OR two (2) years of face-to-face customer service experience in a related field.

Unique Skills

• Strong customer service and communication skills in a healthcare setting.
• Ability to read, interpret, and apply CPT codes, diagnoses, and procedures.
• High attention to detail and accuracy.
• Ability to discuss financial responsibility with patients in a clear, compassionate manner.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, marital status, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by federal, state, or local law. Our company values diversity and inclusion, and we encourage all qualified applicants to apply for job openings.