Patient Access Representative

Cape Cod Healthcare Inc; Hyannis (MA); On-site; USD 28,000 - 47,000; Part time

Job summary

Cape Cod Hospital in Hyannis, MA is seeking a Patient Access Representative to register patients, verify payer information and assist with payments. The role requires strong communication, basic typing and computer skills, and the ability to navigate hospital systems efficiently.

Schedule details include 32 hours per week with rotating evenings (3p-11p or 4p-12a) and alternating weekends/holidays. The position offers a pathway to support accurate billing and patient services within a hospital

Qualifications

• Ability to read, write and communicate in English at high school level or equivalent.
• Typing speed 25 WPM demonstrated by a timed test.
• Proficient computer skills to perform registration and billing tasks.
• Successful completion of Medical Terminology course or equivalent challenge exam.
• Ability to work independently and under pressure.

Responsibilities

• Interview patients to collect required information for hospital registration.
• Coordinate and communicate with departments to support accurate patient care.
• Maintain organized files for orders, authorizations and bed status in systems.
• Verify insurance benefits, obtain referrals and pre-certifications."
• Explain payments and collect co-pays, co-insurance and deductibles.
• Provide information on Medicare forms and refer to Financial Counselor when needed.
• Offer service excellence to patients, families and staff.
• Perform other duties as assigned by supervisor.

Skills

English proficiency

Typing 25 WPM

Computer literacy

Medical Terminology

Work under pressure

Job description

Welcome! Please sign in when you are ready | My Account Options

Job Title

Patient Access Representative (260804-50002549)

Purpose of Position

To obtain accurate and complete patient information and payer verification in a Customer focused manner, to assure expedient care and accurate billing

Description

• Interview patient and/or patient representative to obtain required information necessary to complete the registration process in the hospital information system and maintains the accuracy, confidentiality and integrity of the automated database.
• Coordinate and communicate accurate and updated registration/admission/and pre-admission activities with Medical Records, Care/Case Management, Utilization Management, Physicians' offices, Patient accounts, and any other hospital departments, as may be required, to support the appropriate, accurate, safe and effective patient care.
• Initiate and maintain organized files and records, related to orders, payer authorizations, booking slips, schedules, and others per department procedure.
• Contacts patients, employers, insurers and patient representatives to obtain insurance and other information necessary to secure hospital reimbursement, verifies benefits and pre-certifies all insurance plans to ensure maximum reimbursement to the hospital.
• Verifies benefits, utilizing insurance verification systems. Obtains referrals and authorizations required and documents complete information, along with approved bed status, if applicable, in the computer system. Obtains pre-certifications in a manner to ensure maximum allowable reimbursement to the hospital.
• Maintains a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
• Attends departmental and other meetings as requested by the immediate supervisor.
• Ensure timely placement of patients in the most effective and appropriate manner. Process admissions, discharges and transfers of all Hospital patients, per department procedures.
• Explain and process payments from patients, which may include but not limited to co-pays, co-insurance, and deductibles
• Follows department procedures related to securing payment information and providing patient receipts.
• Provide information to patient and/or representative on: Health Care Proxy, Advanced Beneficiary Notice, Important Medicare Message (IMM) forms, Financial issues and refers to Financial Counselor if appropriate. Obtain completed forms as available.
• Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
• Perform other work related duties and activities as assigned or requested by manager/supervisor.

Qualifications

• Ability to read, write and communicate in English at the level of a high school graduate.
• Ability to type at the rate of 25 WPM as demonstrated by a timed test.
• Computer skills to perform the job functions in a satisfactory, accurate and productive manner.
• Successful passage of a Medical Terminology course or successful passage of Medical Terminology challenge exam.
• Ability to work independently and under pressure.

Schedule Details

32 Hours Per Week, Rotating Eves, 3p-11p or 4p-12a, Every Other Weekend and Rotating Holidays

Organization

Cape Cod Hospital

Primary Location

Massachusetts-Hyannis

Annual/Hourly

Hourly

Hiring Pay Range

$ 20.51 - $ 33.69

Pay Details

Thepayrange displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

Thepayrange displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.