Patient Access Representative

Proserve Business Consultancy Service; Cebu City; On-site; PHP 200,880 - 279,000; Full time

Job summary

Proserve Business Consultancy Service in Cebu City is seeking a Patient Access Representative to support U.S. healthcare clients from our onsite facility. You will handle patient registration, insurance verification, scheduling, and financial clearance with accuracy and courtesy.

The role emphasizes HIPAA compliance, strong English communication, and ability to multitask across multiple queues. Onsite work requires professionalism, teamwork, and adherence to client workflows to help improve

Qualifications

• Bachelor's degree preferred.
• Minimum 1 year BPO experience.
• Excellent English communication skills.
• Healthcare experience preferred.
• Strong computer skills.
• Typing speed of 40+ WPM.
• Ability to multitask.
• Strong customer service skills.

Responsibilities

• Register new and returning patients.
• Verify demographic information and update records.
• Verify eligibility and benefits; confirm coverage dates.
• Obtain and document authorizations; follow up with payers.
• Estimate patient responsibility and explain payment options.
• Schedule, reschedule, and confirm appointments.
• Answer inbound calls and resolve patient inquiries; maintain professionalism.

Skills

Excellent English communication

Strong customer service

Typing 40+ WPM

Time management

Multitasking

Strong computer skills

Critical thinking

Education

Bachelor's degree preferred

Job description

Position:

Patient Access Representative (Onsite)

Position Summary

The Patient Access Representative is responsible for supporting U.S. healthcare organizations with front-end Revenue Cycle Management (RCM) functions. This role focuses on delivering exceptional customer service while accurately completing patient registration, insurance verification, authorization, financial clearance, appointment scheduling, and other patient access activities that improve revenue integrity and patient satisfaction.

Representatives interact professionally with patients, providers, physician offices, insurance companies, and internal client teams while ensuring compliance with HIPAA and client policies.

Primary Responsibilities

Patient Registration

• Register new and returning patients.
• Verify demographic information.
• Update patient records.
• Validate guarantor information.
• Ensure complete and accurate documentation.

Insurance Verification

• Verify eligibility and benefits.
• Confirm coverage dates.
• Determine deductibles.
• Verify co-pay and coinsurance amounts.
• Identify authorization requirements.

Prior Authorization

• Obtain prior authorizations.
• Submit clinical documentation.
• Follow up with insurance companies.
• Document authorization numbers.
• Escalate denials when appropriate.

Financial Clearance

• Estimate patient responsibility.
• Review payment options.
• Explain financial policies.
• Identify financial assistance opportunities.

Appointment Scheduling

• Schedule appointments.
• Reschedule patients.
• Confirm appointments.
• Maintain provider templates.
• Optimize scheduling efficiency.

Customer Service

• Answer inbound calls.
• Make outbound calls.
• Resolve patient inquiries.
• Maintain professionalism.
• Meet quality standards.

Documentation

• Document all account activity.
• Maintain complete notes.
• Update work queues.
• Follow client workflows.

Required Qualifications

• Bachelor's degree preferred.
• Minimum 1 year BPO experience.
• Excellent English communication skills.
• Healthcare experience preferred.
• Strong computer skills.
• Typing speed of 40+ WPM.
• Ability to multitask.
• Strong customer service skills.

Preferred Experience

• U.S. Healthcare.
• Revenue Cycle.
• Epic.
• Cerner.
• Meditech.
• Athena.
• eClinicalWorks.

Key Performance Indicators

• Registration Accuracy ≥98%.
• Insurance Verification Accuracy ≥98%.
• Authorization Accuracy ≥98%.
• Quality Score ≥95%.
• Attendance ≥97%.
• Productivity meets client goals.
• Average Handle Time within target.
• Customer Satisfaction targets achieved.

Knowledge & Skills

• HIPAA.
• Medical terminology.
• Insurance terminology.
• Medicare.
• Medicaid.
• Commercial insurance.
• Excellent communication.
• Critical thinking.
• Time management.

Work Environment

Work is performed from the company's secure operations center using company-approved systems and security protocols.