Patient Access Representative

Central Carolina Hospital; Sanford (NC); On-site; USD 21,000 - 30,000; Full time

Job summary

Central Carolina Hospital is seeking a Patient Access Representative to collect demographic, insurance, and financial information for outpatient and inpatient services. The role requires verifying benefits, obtaining authorizations when needed, and collecting co-pays at service points, all while ensuring a positive patient experience.

Candidates should have a high school diploma (preferred), be able to navigate multiple software systems, and communicate effectively in English.

Qualifications

• Education: High School diploma preferred.
• Skills: Critical thinking, decisive judgment, 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, understand).
• Ability to complete Skills Competency Checklist within 90 days of hire.

Responsibilities

• Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions.
• Verifies benefits and obtains precertification/authorization as necessary.
• Collects co-pays/deductibles at point of service.
• Explains forms and documents to patients and families; provides excellent customer service.
• Maintains patient privacy and confidentiality in all activities.
• Supports department operations and participates in required education.

Skills

Critical thinking

Decisive judgment

Fast-paced environment

Software navigation

English communication

Skills Competency Checklist

Education

High School diploma preferred

Job description

Patient Access Representative Position Summary

Wednesday 1pm to 7 pm, Thursday through Saturday 7am to 7pm

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.