Patient Access Rep (As Needed 1st Shift Weekends) - Carolina Forest

McLeod Health; Myrtle Beach (SC); On-site; USD 22,000 - 33,000; Full time

Job summary

McLeod Health in Myrtle Beach, SC seeks a Patient Access Representative to be a primary contact for patients, collecting and validating information, assisting with scheduling, and verifying insurance coverage to support accurate registration and billing.

You'll promote a positive patient experience through financial counseling, engage patients with MyChart when appropriate, and help navigate care while upholding HIPAA and organizational standards in a fast-paced environment.

Qualifications

• High school diploma or GED preferred; in lieu of diploma may be considered.
• Prior healthcare, medical office, or insurance experience preferred.
• Basic data entry and computer skills; proficient in Microsoft Office.

Responsibilities

• Obtain and verify information for hospital and physician records, billing, and third-party payer needs.
• Enter accurate patient information into the electronic health record.
• Schedule, reschedule, and cancel appointments as requested.
• Verify insurance coverage and determine eligibility.
• Explain patient liability and collect prepayments or balances.
• Promote patient engagement and navigation assistance, including MyChart.
• Support HIPAA compliance and confidentiality.

Skills

Data entry

Microsoft Office

HIPAA compliance

Customer service

Fast-paced environment

Education

High school diploma or GED

Tools

Electronic health record (EHR)

Job description

Job Summary

The Patient Access Representative serves as a key point of contact for patients by collecting and validating patient information, coordinating scheduling activities, verifying insurance coverage, and supporting accurate registration and billing processes. This role promotes a positive patient experience through financial counseling, patient engagement, appointment management, and navigation assistance while ensuring compliance with HIPAA regulations and organizational standards.

Job Description

Responsibilities

The Patient Access Representative serves as a key point of contact for patients by collecting and validating patient information, coordinating scheduling activities, verifying insurance coverage, and supporting accurate registration and billing processes. This role promotes a positive patient experience through financial counseling, patient engagement, appointment management, and navigation assistance while ensuring compliance with HIPAA regulations and organizational standards.

Key Responsibilities

• Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs. Enters accurate patient information into the electronic health record.
• Maintains confidentiality of patient information and complies with HIPAA regulations.
• Correctly transcribes and validates patient orders.
• Schedules, re-schedules, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.
• Verifies and correctly assigns insurance coverages based on eligibility responses.
• Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or outstanding balances.
• Monitors and resolves errors in assigned workqueues.
• Advocates for patient engagement, including activation of MyChart.
• Assists with wayfinding and connecting patient to care.
• Performs additional duties as assigned to support departmental and organizational goals.

Education & Experience

• High school diploma or GED preferred. In lieu of high school diploma or GED, experience in a related field may be considered.
• Prior healthcare, medical office, or insurance experience preferred.

Essential Skills

• Basic data entry and computer skills, including Microsoft Office products.
• Ability to work in a fast-paced metric driven environment that is patient centered.
• Fundamental understanding of KPI’s and thresholds to measure productivity.

About Us

Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area . With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds , including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.

About The Team

If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals,

We are an equal opportunity employer.