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Patient Access Representative

A Patient Access Representative serves as a primary point of contact for patients and assists with the administrative processes involved in accessing healthcare services. The role focuses on patient registration, appointment scheduling, insurance verification, referrals, financial information, and providing excellent customer service while maintaining patient confidentiality.

Key Responsibilities

  • Greet and assist patients in person, by phone, or through electronic communication.
  • Schedule, confirm, cancel, and reschedule patient appointments.
  • Register new and returning patients and accurately update demographic information.
  • Verify insurance eligibility, benefits, and coverage.
  • Collect copayments, deductibles, and other patient balances when required.
  • Coordinate with clinical, billing, insurance, and other departments to resolve patient access issues.
  • Protect patient information and follow HIPAA and organizational privacy requirements.
  • Assist with referrals, medical records requests, and other administrative processes.
  • Provide compassionate and professional customer service to patients and families.
  • Meet organizational standards for accuracy, productivity, scheduling, and patient satisfaction.

Qualifications

  • High school diploma or equivalent.
  • Previous healthcare, medical office, customer service, scheduling, or administrative experience preferred.
  • Knowledge of medical terminology and healthcare insurance processes is a plus.
  • Experience with EHR/EMR systems and computer applications.
  • Strong verbal and written communication skills.
  • Excellent attention to detail and organizational abilities.
  • Ability to handle confidential information appropriately.