Patient Access Rep

Phoenix Children's Hospital, Inc.; Mesa (AZ); On-site; USD 22,000 - 39,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Patient Access Representative to efficiently register patients for professional and hospital services.

You will collect co-pays, verify demographics, and ensure accurate insurance information at the time of service. Responsibilities include documenting data in HIS systems, assisting uninsured patients, and collaborating with the Financial Counselor to optimize patient access and communication.

Qualifications

• High school diploma or equivalent is required.
• Associate's degree in healthcare, business or related field preferred.
• At least 1 year of related office or retail experience with direct customer contact.
• EMR experience preferred.
• AMPFM, Misys, or HIS platform experience preferred.
• Effective verbal and written communication; professional demeanor; customer-focused.
• Knowledge of Medical Terminology and ICD-9/CPT codes; HIPAA privacy laws preferred.
• Ability to speak and write Spanish preferred.
• Follow payer or governmental requirements.

Responsibilities

• Register patients who are pre-registered and collect co-pays/deductibles.
• Document information accurately in the appropriate fields and systems.
• Answer phones and respond to questions promptly.
• Identify uninsured/underinsured patients and refer to Financial Counselor.
• Review patient account systems for unpaid liabilities.
• Maintain positive relationships with patients, insurers, clinicians, and staff.
• Prioritize and monitor daily registration tasks to ensure timely, compliant processing.
• Participate in hospital education programs to maintain skills.

Skills

Communication

HIPAA compliance

Spanish language

Payer requirements

Education

High school diploma or equivalent

Associate’s degree preferred

Tools

EMR systems

AMPFM/MISYS

HIS platform

Job description

Shift: Mon-Fri, Days, Evenings, 3pm-11pm

Posting #: 1068840

Employee Type: Full-Time

Position Summary

The Patient Access Representative performs efficient and orderly registration of all patients. Acts as primary liaison for patients receiving professional and hospital services at Phoenix Children's. Prepares admission forms, obtains necessary documentation and signatures, and confirms demographic information when the patient and/or guarantor present for services. Collects co-pay and deductible amounts at time of service. Some travel from site to site may be necessary based on business needs of the department.

Position Duties

• Arrives patients who present for professional and hospital services that have been pre-registered and collect co-pay and deductible amounts. Obtains all necessary signatures from the Guarantor at the time of registration or arrival.
• Accurately documents all information in the appropriate fields and/or account notes. Maintains accuracy when entering demographic and insurance information in the system.
• Courteously answers the telephone and answers all questions in a timely manner.
• Identifies and refers uninsured and underinsured patients to the Financial Counselor.
• Inquires patient account system(s) to identify any previous unpaid liability in AMPFM/Misys.
• Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for Phoenix Children's.
• Organizes, prioritizes, and monitors daily work activity to ensure that complete, accurate, and compliant registration has been performed in a timely manner.
• Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
• Performs registration in appropriate HIS system, verifies insurance coverage, obtains authorization for patients who present for professional and hospital services and have not been pre-registered.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

1. High school diploma or equivalent. Required Yes No

2. Associate’s Degree in Healthcare, Business or related field. Preferred Yes No

Experience

1. 1 year of related office or retail experience including direct customer contact and service, or equivalent combination of education and experience. Required Yes No

2. Electronic Medical Record (EMR) experience. Preferred Yes No

3. AMPFM, Misys, or HIS platform experience. Preferred Yes No

Special Skills

1. Effective verbal and written communication skills, professional demeanor, team player with a customer-focused attitude. Required Yes No

2. Knowledge of Medical Terminology and ICD-9/CPT codes and an understanding of HIPAA privacy laws. Preferred Yes No

3. Ability to speak and write Spanish. Preferred Yes No

4. Follow any payer or governmental requirement as required by organization. Required Yes No

Additional Requirements

1. Current BLS certification for Healthcare Provider from the American Heart Association. Preferred Yes No

Physical Requirements & Occupational Exposure/Risk Potential

1. Physical Requirement - Climbing - Occasionally

2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally

3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally

4. Physical Requirement - Hearing - Frequently

5. Physical Requirement - Pushing/pulling - Occasionally

6. Physical Requirement - Reaching - Occasionally

7. Physical Requirement - Sitting - Frequently

8. Physical Requirement - Standing - Occasionally

9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally

10. Physical Requirement - Talking - Frequently

11. Physical Requirement - Tasting/smelling - Occasionally

12. Physical Requirement - Walking - Frequently

13. Physical Requirement - Near Vision - Occasionally

14. Physical Requirement - Far Vision - Occasionally

15. Physical Requirement - Color Discrimination - Occasionally

16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly

17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally

18. Physical Requirement - Lift more than 35 pounds without assistance - Occasionally

19. Occupational Exposure/Risk Potential - Inside office environment - Applicable

I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree