Associate Patient Access Rep- Central Authorizations

Community Health Network; Georgia; On-site; USD 32,000 - 46,000; Full time

Job summary

Community Health Network is seeking an Associate Patient Access Representative (APAR) to be the first contact for visitors, handling patient registration, scheduling, and financial clearance. You will support check-ins, verify insurance, and ensure accurate data entry to keep visits running smoothly.

In this role, you will work with EPIC work queues, confirm CMS eligibility, and protect patient information while delivering courteous service to patients and families across our network.

Qualifications

• Front-office and back-office responsibilities across patient access.
• Ability to verify insurance and communicate coverage information.
• Experience with EPIC work queues is preferred.

Responsibilities

• Handle check-ins, scheduling, and payment collection for patients.
• Verify insurance and CMS eligibility and maintain accurate records.

Skills

Customer service experience

Registration/Admissions

CMS eligibility knowledge

Education

High School Diploma or GED

Job description

Join Community

Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you.

Make a Difference

The Associate Patient Access Representative (APAR) is the first contact for visitors, handling customer service, patient registration, and financial clearance. This role includes check-ins, scheduling, payment collection, insurance verification, and compliance management. The APAR ensures smooth workflows and adherence to guidelines, preparing patients administratively and financially for their visits.

Exceptional Skills and Qualifications

The Associate Patient Access Representative (APAR) is responsible for a variety of front-office and back-office functions throughout the network including but not limited to the responsibilities below:

• High School Diploma or GED High School diploma or GED equivalent (Required)
• 1+ years: Experience in healthcare office setting and/or work history with strong customer service background (Preferred)
• Registration/Admissions: Proficient in all types of registrations (i.e., inpatient, outpatient, and emergency admits)
• Completes Admissions, Discharges, and Transfers in a timed manner when applicable
• Ability to monitor and perform all patient hospital and/or ambulatory movement
• Utilizes EPIC work queue to pre-register scheduled patients
• Verifies medical necessity in accordance with the Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage and eligibility information to the patient
• Accurately identifies and enters patient demographics, insurance, and financial information including inpatient and outpatient benefits
• Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services
• Confirms the completeness of the electronic health record (EHR) and makes necessary changes