Patient Access Representative

vTech Solution; California (MO); On-site; USD 40,000 - 56,000; Full time

Job summary

vTech Solution is seeking a Patient Access Representative III to secure and provide accurate information to patients, families, and funding sources to facilitate registration, scheduling, and prior authorizations for inpatient and outpatient services.

The role requires knowledge of managed care plans, scheduling, billing and claims, familiarity with medical terminology, and proficiency with EPIC or similar systems to support scheduling and registration. This is an onsite, full-time position.

Qualifications

• Minimum 2 years of work experience in a healthcare setting.
• At least 1 year of experience with data entry functions.
• At least 1 year of experience with insurance eligibility verification and knowledge of insurance benefits and prior authorizations.
• Basic knowledge of medical terminology or 6 months of demonstrated healthcare work experience.

Responsibilities

• Register patients for inpatient, outpatient, and diagnostic services accurately and efficiently.
• Schedule surgical and treatment appointments, coordinating with relevant departments.
• Obtain and verify insurance authorizations and eligibility to ensure coverage.
• Provide appropriate information to patient families and funding sources regarding services and authorizations.
• Maintain accurate data entry related to patient access functions.
• Collaborate with managed care health plans and understand billing and claims payment processes.
• Utilize EPIC or other healthcare information systems to support scheduling and registration tasks.

Skills

Healthcare experience

Data entry

Insurance eligibility verification

Medical terminology

Bilingual in Spanish and English

Education

High School diploma or equivalent

Tools

EPIC

Job description

Job Summary:

The Patient Access Representative III is responsible for securing and providing accurate information to patients, families, and funding sources to facilitate registration, scheduling, and authorization processes for inpatient, outpatient, and diagnostic services. This role requires knowledge of managed care health plans, scheduling, registration, billing, and claims payment, along with familiarity with medical terminology. The representative ensures efficient patient access operations and supports the healthcare team in delivering seamless service.

Responsibilities:

• Register patients for inpatient, outpatient, and diagnostic services accurately and efficiently.
• Schedule surgical and treatment appointments, coordinating with relevant departments.
• Obtain and verify insurance authorizations and eligibility to ensure coverage.
• Provide appropriate information to patient families and funding sources regarding services and authorizations.
• Maintain accurate data entry related to patient access functions.
• Collaborate with managed care health plans and understand billing and claims payment processes.
• Utilize EPIC or other healthcare information systems to support scheduling and registration tasks.

Required Skills & Certifications:

• Minimum 2 years of work experience in a healthcare setting.
• At least 1 year of experience with data entry functions.
• High School diploma or equivalent.
• At least 1 year of experience with insurance eligibility verification and knowledge of insurance benefits and prior authorizations.
• Basic knowledge of medical terminology or 6 months of demonstrated healthcare work experience.

Preferred Skills & Certifications:

• Experience with surgical scheduling or treatment scheduling.
• Functional knowledge of EPIC electronic health record system.
• Bilingual in Spanish and English.

Special Considerations:

• Flu vaccine is required for this onsite role.
• Work is performed onsite in a patient access or administrative healthcare setting.

Scheduling:

• Full-time schedule: Monday through Friday, 8:00 AM to 5:00 PM (five 8-hour shifts).