Patient Access Representative

CommonSpirit Health; Nebraska City (NE); On-site; USD 32,000 - 42,000; Full time

Job summary

CommonSpirit Health's Saint Mary's Community Hospital seeks a Patient Access Representative to manage registration, scheduling, and admitting workflows. You will be the primary contact for patients and families, ensuring a seamless experience while upholding HIPAA and privacy standards.

You’ll handle high-volume data entry, insurance verification, and communicate financial responsibilities. A detail-oriented, patient-centered professional thrives in this role within a fast-paced clinical setting.

Qualifications

• High School Diploma or GED required at hire.
• 1 year healthcare or patient access experience preferred.
• Knowledge of patient registration procedures and health insurance payers.
• Real-time insurance eligibility verification demonstrated.

Responsibilities

• Manage end-to-end patient registration and demographic capture.
• Verify insurance eligibility and coordinate scheduling/admitting workflows.
• Communicate patient financial responsibilities and assist in collections at point of service.
• Maintain HIPAA compliance and accurate data in the EHR system.
• Serve as a patient-facing liaison across departments to ensure smooth operations.

Skills

Detail-oriented

Customer service

Rapid data entry

Education

High School Diploma or GED

Tools

Microsoft Word

Excel

EHR system

Job description

Job Summary and Responsibilities

As ourPatient Access Representative, you will play a critical role in the revenue cycle at Saint Mary's Community Hospital, serving as a primary point of contact for patients and their families. This position is vital for ensuring a seamless patient experience by accurately managing registration, scheduling, and admitting workflows. You will join a dedicated healthcare team, acting as an essential liaison who upholds our organizational values while maintaining strict compliance with HIPAA, privacy standards, and regulatory requirements.

Every day you will handle high-volume administrative tasks, including patient data capture, insurance eligibility verification, and the processing of medical records within our electronic health record (EHR) system. You will utilize your technical skills to identify and resolve registration or insurance discrepancies, elevate complex issues according to established protocols, and provide professional support via telephone and digital channels. Additionally, you will communicate patient financial responsibilities—such as estimates and liabilities—and facilitate payment collections at the time of service, all while maintaining a welcoming and organized environment to ensure efficient clinic operations.

To be successful in this role, you should have a solid foundation in medical registration procedures, health insurance payer knowledge, and real-time eligibility verification. We are seeking a detail-oriented professional with strong computer skills (Microsoft Word, Excel, and data entry) and the ability to thrive in a fast-paced environment. Your commitment to patient-centered service, ability to adapt to cross-functional workflows, and dedication to maintaining clinical confidentiality will make you an invaluable asset to our facility.

• Comprehensive Patient Registration:Manage the end-to-end registration process by accurately capturing demographic information, performing insurance eligibility verification, and ensuring all documentation is completed correctly within the electronic health record (EHR) system.
• Financial Coordination & Collections:Proactively communicate patient financial responsibilities, including estimated liabilities, and facilitate the collection of payments at the time of service to support revenue cycle goals.
• Scheduling & Workflow Management:Coordinate patient appointments and clinical schedules while actively identifying and resolving routine registration or insurance discrepancies to ensure seamless access to care.
• Professional Patient Support:Serve as a primary point of contact for patients, families, and internal departments, providing high-quality service, answering inquiries, and routing communications with professional, patient-centered care.
• Compliance & Data Integrity:Maintain strict adherence to HIPAA, privacy standards, and organizational policies while accurately indexing and managing sensitive patient documentation to support clinical and billing operations.

Job Requirements

Required

• High School Graduate , upon hire or
• High School GED, upon hire and
• 1 year relevant experience in healthcare, patient access setting is preferred, along with knowledge of the following: patient registration procedures and documentation, knowledge of health insurance payers, and real-time insurance eligibility verifications.

Where You'll Work

CHI Health St. Mary’s has served Nebraska City and the surrounding areas since 1927. In the fall of 2014, St. Mary’s opened the doors of a brand-new, fully modernized facility. The new 110,000-square-foot campus is better equipped to meet the changing needs of our community with, among other benefits, an increased capacity for specialty clinics and an integrated primary care clinic. St. Mary’s encourages collaboration and care coordination among primary care physicians and medical specialists. This contributes to the high quality of care our patients have come to expect.