Patient Access Representative

Patient Access Representative — Job DescriptionReports To: Supervisor or Manager
Department: Patient Access Services
Location: Beacon Health SystemPosition Summary The Patient Access Representative ensures accurate and timely patient registration and pre-registration in accordance with Beacon’s policies and procedures. This role involves insurance verification, benefit determination, point-of-service collections, order management, and high-level patient interaction with professionalism and courtesy.Beacon Mission, Values, and Service GoalsMission: Deliver outstanding care, inspire health, and connect with heart.Values: Trust · Respect · Integrity · CompassionService Goals: Personally connect · Keep everyone informed · Be on their teamKey Responsibilities Patient Registration & Pre-RegistrationFollow standard procedures to register patients accurately and efficiently.Verify and update patient demographics and insurance information.Collect and post co-pays, deductibles, and other balances.Utilize the R1 tool for insurance verification and STAR Navigator for insurance plan confirmation.Provide patients with appropriate forms (e.g., ABNs, Medicare Notices).Ensure all necessary documents are signed, scanned, and stored in the patient’s electronic file.Maintain HIPAA compliance at all times.Check-In ProcessIdentify pre-registered and walk-in patients via PHS and the appointment schedule.Confirm completeness of physician orders and demographic data.Ensure the correct patient type, service codes, and accommodation codes are used.Order ManagementPrint, review, and process daily outpatient orders from Care Ready or Cerner.Proactively follow up on missing orders for scheduled procedures.Manage orders efficiently and ensure alignment with HIM and clinical standards.Bed Control (as applicable)Convert patient types and update bed assignments accurately.Monitor daily admissions and special accommodation requirements.Handle calls related to transfers and coordinate hospitalist updates.Team Leadership (if applicable)Support training and mentoring of new staff.Assist in scheduling and workload balancing using Active Staffer.Promote departmental policies and positive work culture.Serve as a role model for professionalism and problem-solving.Communication & Customer ServiceGreet patients and visitors courteously and respond to inquiries.Inform patients of wait times and delays.Collaborate across departments to resolve issues.Answer incoming calls within three rings and route appropriately.Organizational Responsibilities Attend all department meetings and complete required training on time.Maintain current certifications and health requirements.Comply with safety, regulatory, and compliance guidelines.Be available for overtime and flexible shifts as required.Education & Experience High school diploma or equivalent required; additional education preferred.Minimum 1 year of clerical or computer experience preferred.Must complete a Medical Terminology course within the first year.CHAA and/or CMA certification highly preferred.Knowledge, Skills & Abilities Proficiency in Microsoft Office and patient management systems (STAR Navigator, Cerner, RevSpring, etc.).Typing speed of at least 40 WPM.Strong understanding of insurance processes, eligibility, and collections.Excellent verbal, written, and interpersonal communication skills.Ability to handle confidential information and high-stress situations professionally.Must exhibit cultural sensitivity and effective listening.Working Conditions Environment includes patient care areas with potential exposure to bio hazards.Must accommodate a flexible schedule including weekends and holidays.Must be able to multitask in a high-volume, fast-paced environment.Physical Demands Must be able to lift up to 25 lbs., walk moderate distances, bend, stoop, and stand for extended periods.The Beacon Way: Operational ExcellenceLeverage innovationCultivate talentDrive performance improvementBuild accountabilityUtilize information to advance careCommunicate clearly and consistently

Beacon Health System