Patient Access Representative

OHE OHNH EMP LLC; United States; On-site; USD 35,000 - 45,000; Full time

Job summary

OHE OHNH EMP LLC is seeking a patient service representative to manage patient billing inquiries and facilitate entrance processes at our Johnstown, CO location. The candidate will maintain accurate patient records and ensure compliance with insurance guidelines while exemplifying high customer service standards.

A minimum of a High School Diploma is required, with preferences for further education in healthcare or finance. Ideal applicants will have experience in financial registration within a clinical setting.

Qualifications

• High School Diploma / GED required, Associate’s Degree preferred.
• Proven skills in Microsoft Office and a 10-key calculator.
• One year experience in financial or registration areas.

Responsibilities

• Act as first contact for patients with high customer service standards.
• Facilitate patient entrance tasks including scheduling and financial clearance.
• Document patient and insurance information accurately.

Skills

Customer service standards

Microsoft Office (Excel, Word)

10-key calculator

Communication skills

Organizational skills

Education

High School Diploma / GED

Associate’s Degree in Healthcare or related field

Job description

Job Address: 4770 Larimer Pkwy, Johnstown, CO 80534

Responsibilities

• First point of contact for patients, representing the organization with high customer service standards.
• Facilitate all components of the patient’s entrance to any facility, including scheduling, registration, benefit verification, pre‑certification and financial clearance such as pre‑visit collection.
• Ensure the most accurate patient data is obtained and recorded in the patient record.
• Maintain knowledge of insurance carriers, Medicare guidelines, and relevant federal, state and accreditation requirements.
• Document insurance information, personal information, payment methods and other important patient information.
• Contact insurance companies regarding coverage, pre‑approvals, billing and other issues.
• Process and collect out‑of‑pocket payments from patients, including deductibles, co‑pays and co‑insurance.
• Handle billing issues between patients and insurance companies.
• Answer the phone to address patient billing inquiries.
• Communicate information and important details to other medical care staff.
• Manage various types of paperwork and other clerical duties.

Experience and Education Requirements

• Minimum: High School Diploma / GED. Preferred: Associate’s Degree in Healthcare, Finance or related field.
• Equivalent combination of education and relevant experience may be accepted.
• Proven skills in Microsoft Office (Excel, Word), Windows applications, and a 10‑key calculator with high quality outcomes.
• One year experience in hospital or clinic financial, registration, scheduling or insurance authorization areas.

Preferred

• Working knowledge of CPT, HCPCS, ICD‑10, medical terminology, anatomy and insurance plans.

Minimum Skills, Knowledge and Ability Requirements

• Ability to communicate effectively both orally and in writing; excellent telephone etiquette required.
• Ability to establish and maintain positive working relationships with patients, physicians, clinical and non‑clinical hospital staff and insurance companies.
• Strong organizational skills and attention to detail.
• Work independently in a self‑directed, non‑confrontational, collaborative manner.
• Customer focus: promote positive internal and external relationships by actively seeking and being responsive to customer feedback.
• Ability to support and participate in continuous quality improvement projects.
• Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy.
• Knowledgeable and experienced with various computer systems; ability to use a 10‑key calculator and computer keyboard.