Patient Access Representative - Revenue Cycle

Patient Access Representative

The Patient Access Representative provides quality customer service to patients of all ages, their families, visitors, medical staff, clinicians, and co-workers, ensuring that everyone will be treated courteously, quickly, and with respect. This position establishes and maintains an environmental control plan, coordinates materials management for the department, assists in monitoring clinic activities, and provides supervision of clerical activities. The Patient Access Representative handles all business functions in an assigned area to include reception, scheduling, and registering patients for appointments and / or procedures. This position also secures the appropriate patient information; ensures that registration data is correct and accurate; validates insurance eligibility, enters information into appropriate systems, and collects co-pay (if applicable). Additionally, the Patient Access Representative assists with financial counseling and financial clearance, as necessary.

Licensure, Certification, or Registration Requirements for Hire : N / A

Licensure, Certification, or Registration Requirements for continued employment : N / A

Experience Required : Previous experience with computers, Microsoft Office software, and navigating the Internet. Previous experience keyboarding with the ability to type 40 words per minute.

Experience Preferred : Work experience with medical insurance, HMO, managed care, electronic medical billing / order entry / registration systems, and appointment scheduling. Previous work experience in a healthcare setting and knowledge of medical terminology.

Education / training Required : High school graduate or GED.

Education / training Preferred : Associate's or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration, or closely related field from an accredited program.

Independent action(s) required : Able to perform daily activities with minimal supervision : being self-directed in the accomplishment of routine activities. Issues that involve violation of VCUHS policy or procedures that involve conflicts of a sensitive nature, or that would be considered unusual in nature are to be brought to the attention of the clinical coordinator or designee promptly as would be warranted by the immediacy of the issue. Performs daily activities with minimal supervision. Notifies supervisor of issues involving violation of VCUHS policies or procedures. Functions in a self-directed manner to accomplish routine activities.

Supervisory responsibilities (if applicable) : N / A

Additional position requirements : Depending on assignment, may be required to work off-shifts and / or weekend and holidays. Incumbents may be considered essential depending on departmental assignment.

Age Specific groups served : All

Physical Requirements (includes use of assistance devices as appropriate) : Physical : Lifting less than 20 lbs. Lifting 50-100 lbs. Activities : Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive). Mental / Sensory : Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking.

Emotional : Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change.

This position supports VCUHS with providing quality registration for all scheduled Outpatient patients, point of cash collections, must have excellent customer service skills, organization, and communication skills, verbal and written. Must demonstrate competency in the use of computers and general office equipment, registration experience in a hospital and / or physician setting. Must have knowledge of 3rd party payors and medical terminology. This position requires the ability to work weekends and includes holidays.

EEO Employer / Disabled / Protected Veteran / 41 CFR 60-1.4.