Patient Access Representative

Patient Access Representative

Patient Access Representative – Job Description

Reports To : Supervisor or Manager

Department : Patient Access Services

Location : Beacon Health System

Position 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 Goals

Mission : Deliver outstanding care, inspire health, and connect with heart.

Values : Trust

• Respect
• Integrity
• Compassion

Service Goals : Personally connect

Key Responsibilities

Patient Registration & Pre-Registration

Follow 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 Process

Identify 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 Management

Print, 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 Service

Greet 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 Excellence

Leverage innovation

Cultivate talent

Drive performance improvement

Build accountability

Utilize information to advance care

Communicate clearly and consistently

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