Patient Access Representative

Central Carolina Hospital; Sanford (NC); On-site; USD 38,000 - 48,000; Full time

Job summary

Central Carolina Hospital seeks a Patient Access Representative to collect patient demographics, insurance details, and financial information for outpatient and inpatient services. The role verifies benefits, obtains authorizations when needed, and collects co-pays at the point of service to streamline admissions.

Responsibilities include ensuring accurate data entry, explaining forms, providing excellent customer service, and protecting patient privacy while supporting department operations and

Qualifications

• High School diploma preferred.
• Critical thinking and decisive judgment in a fast-paced environment.
• Ability to work with minimal supervision.
• Effective English communication (read, write, speak).
• Ability to complete Skills Competency Checklist within 90 days of hire.

Responsibilities

• Register patients accurately with demographic, insurance, and financial information.
• Verify benefits and obtain precertifications/authorizations as needed.
• Collect co-pays/deductibles at point of service.
• Explain forms and provide patient education.
• Protect patient privacy and maintain confidentiality.

Education

High School diploma preferred

Tools

Software systems navigation

Job description

Patient Access Representative Position Summary

Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions. Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process. Provides a positive first impression of the facility. Reports to the Director or Manager of Department.

Essential Functions

• Ensures all required demographic, billing, and clinical data are obtained and accurately entered into the registration system in a timely manner.
• Distributes and explains forms, documents, and educational handouts to patients and families.
• Verifies insurance benefits and obtains precertification/authorization as necessary.
• Determines and accepts required payments (e.g., co-pays, deductibles) or refers to financial counseling as appropriate.
• Communicates professionally in-person and by phone; provides clear instructions and excellent customer service.
• Protects patient privacy and confidentiality in all registration activities.
• Participates in performance improvement and required education.
• Works alternate shifts/areas as needed to support department operations.
• Performs other duties as assigned.

Additional Information

Populations Served: Does not treat or provide clinical care to patients. Protected Health Information Accessed: Demographic, Insurance, Financial.

Exposure: Occupational exposure to bloodborne pathogens may be present.

Physical Requirements (typical): Frequent keyboard data entry, sitting, audible speech and hearing; frequent reaching and repetitive hand/arm movements; occasional walking, standing, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing, kneeling, running, and higher-force tasks. Vision demands include near/far vision and depth perception (constant), color distinction (constant); smell and taste rarely required. Occasional exposure to biological and rare exposure to chemical hazards (e.g., dust, gases/vapors/fumes); latex exposure rare.

Knowledge, Skills & Abilities

Education: High School diploma preferred.

Skills: Critical thinking, decisive judgment, and ability to work with minimal supervision in a fast-paced environment. Rapid learning and navigation of multiple software systems. Effective English communication (read, write, speak, and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.