Patient Access Rep I - Clinic

St Joseph Health; Bryan (TX); On-site; USD 35,000 - 48,000; Full time

Job summary

CommonSpirit Health is seeking a Patient Access Representative to support the Pain Clinic within the St. Joseph Medical Group.

The role involves patient pre-registration, registration, and financial counseling, including verifying insurance and assessing financial responsibilities. The position requires assembling documentation for registration, collecting co-pays, and guiding patients through payment options.

Qualifications

• High school diploma or GED required upon hire.
• Experience with patient access, registration, or financial counseling is a plus.
• Familiarity with insurance verification and medical billing processes is helpful.

Responsibilities

• Performs patient access, registration, admitting and financial counseling activities, including pre-registration and registration.
• Supports the Pain Clinic within the St. Joseph Medical Group.
• Assembles data and documents for complete patient registration and completes insurance verifications.
• Enters patient demographic information and uses applications for eligibility and authorization.
• Assesses patient financial responsibility and collects co-pays and deductibles at admission.
• Explains hospital policies about payment sources to patients and families.
• Obtains funding information and assists with government or charity funding options as applicable.
• Uses payer resources to assess eligibility and initiates third party referrals.
• Collaborates with revenue cycle to resolve issues and maintains fiscal records.

Skills

Patient access

Registration processes

Financial counseling

Education

High School Diploma or GED

Job description

Job Summary and Responsibilities

Performs patient access, registration, admitting and financial counseling activities, which may include: patient pre‑registration and registration, admittance, patient financial counseling, researching and evaluating federal, state and commercial insurance funding issues and screening patients for alternative government funding.

This Patient Access Rep. will support the Pain Clinic within our St. Joseph Medical Group.

Assembles all data and documents required for complete patient registration, including, pre‑admission, pre‑registration and registration Functions; completes all insurance verifications and authorizations

Enters all patient demographic information; uses other department applications for eligibility and authorization

Assess patient financial responsibility and collects co‑pays and deductibles at time of admission

Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered

Obtains and documents funding information from patients and Provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre‑registration, registration, or post
registration as assigned.

Uses payer resources and website to explore and assess eligibility; Initiates third party referrals, administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care

Works in collaboration with all areas of the revenue cycle to identify and resolve issues and or barriers

Enters a variety of fiscally related information into databases; Maintains fiscal records and files

Responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems

Job Requirements

Required

• High School Graduate General Studies, upon hire or
• High School GED General Studies, upon hire

Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

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