Patient Access Representative

Clinical Health Network For Transformation; United States; Remote; USD 42,000 - 54,000; Full time

Benefits offered by this job

Remote work in the U.S.

Company laptop and equipment

HIPAA training and support

Job summary

Clinical Health Network for Transformation (CHN) seeks a Patient Access Representative to handle high-volume inquiries, schedule appointments, verify insurance, and pre-register patients for reproductive health services. You will work remotely across the U.S., using EHR systems and scripts to ensure accurate information and smooth visits.

The role emphasizes patient-centered service, adherence to HIPAA, and collaboration with the Patient Access Center to meet performance metrics and quality

Qualifications

• High school diploma or equivalent.
• Strong phone and verbal communication skills.
• Customer focus and adaptability to different personalities.
• Ability to multitask and manage time effectively.
• English language proficiency and HIPAA awareness.

Responsibilities

• Represent CHN to consumers in a friendly, proactive manner.
• Field and resolve inquiries via phone and other contact methods.
• Schedule appointments and verify patient insurance.
• Pre-register patients and screen for funding sources.
• Guide patients through care processes and use EHR systems.
• Maintain HIPAA compliance and protect patient information.
• Provide training and support to colleagues and meet performance metrics.

Skills

Phone skills

Verbal communication

Customer service

Multitasking

English proficiency

Education

High school diploma or equivalent

Tools

EHR systems

Job description

The vision of Clinical Health Network for Transformation (CHN) is to support the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between Planned Parenthood affiliates across the United States.

CHN is looking for individuals who are committed to supporting our shared goal of strengthening and enhancing our awareness and commitment to advancing the cause of health equity in our organization.

The primary responsibility of aPatient Access Representative (PAR) is to represent Clinical Health Network for Transformation (CHN) to consumers in a friendly, positive, and effective manner. The PAR will be responsible for successfully fielding and resolving a large volume of inquiries via phone and other potential contact methods within the Patient Access Center. This will include following communication scripts, scheduling appointments, verifying patient insurance, pre-registering patients for their appointments,screening for alternate funding sources, properly advising patients of service estimatesand performing other tasks that allow patients to visit their health center seamlessly. The PARwill be responsible for evaluating all requirements to ensure that appropriate information has been obtained. The PARwill need to provide exceptional customer service, treating all callers with dignity and respect and striving to anticipate and meet their needs. Working collaboratively with other Patient Access Center team members, PARs will strive to achieve quality and performance standards defined in training and leadership communications. The PARreports directly to the Patient Access Manager.

Essential Functions

• Demonstrate proficiency navigating systems, working with complex workflows, managing telephone calls, online requests, and/or faxes and other contact channels
• Answer incoming calls professionally and seek to assist the patient however possible
• Maintain a positive, welcoming attitude in all patient interactions
• Offer prompt assistance to patients for a variety of services, including:
• Registering new patients into the EHR system
• Booking, canceling, and rescheduling appointments for reproductive healthcare, including abortion services
• Inputting and updating insurance information
• Relaying patient communications to provider
• Providing patients with pre-visit instructions as needed
• Transferring calls to appropriate nurse advice staff when necessary
• Assist patients with identifying a provider and appointment that is appropriate for their care
• Use EHR systems effectively to guide the patient’s care
• Screen patient for financial support using real-time eligibility (RTE), while escalating more complex questions
• Contact patients to notify when visits are canceled or rescheduled
• Place the patient first in all interactions, including adhering to all HIPAA guidelines and regulations
• Provide training, support, and mentoring to colleagues
• Work with supervisors to achieve the established performance metric standards
• Use the phone system to track activities
• Participate in ongoing training and quality assurance exercises
• Adhere to all established workflows, scripting, and department greetings
• Meet performance goals for patient experience, quality, productivity, and all performance metrics
• Participate in special projects and performs other duties as assigned
• Demonstrate a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
• Demonstrate a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
• Work and build trust across cultural differences

The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at any time .

Qualifications and Experience (Required)

• High school diploma or equivalent experience
• Strong phone and verbal communication skills along with active listening
• Customer focus and adaptability to different personality types
• Ability to multi-task, set priorities, and manage time effectively
• Ability to work a flexible work schedule including evenings and weekends
• English language proficiency
• Demonstrated dedication to Planned Parenthood’s mission, vision, and values

Qualifications and Experience (Preferred)

• One year of experience in contact centers, pre-access, patient access, admissions or hospital business office, or physician practice office or equivalent customer services experience
• Familiarity with call center systems and practices
• Associate degree, or equivalent experience
• Secondary language proficiency

Work Location, Hours and Equipment

• 100% fully remote in the U.S.
• Available to work full-time (37.5 hours/ week) Monday - Saturday between the hours of 8 AM - 7 PM Eastern Time; additional hours as needed
• Must have a dedicated workspace conducive to maintaining HIPAA compliance, confidentiality, and providing exceptional customer service
• Company provided laptop, monitor, and headset

Key Requirements

• Commitment to advancing race(+) equity in one’s work: interested in expanding knowledge about the role that racial inequity plays in our society
• Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
• Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learnStrong sense of accountability to equitable practices
• Understanding of the impact of identity dynamics on organizational culture
• Commitment to CHN and Planned Parenthood’s ‘In This Together’ service ethos, workplace values, and service standards

Clinical Health Network for Transformation (CHN) is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression/identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member/veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local. We are committed to building an inclusive workplace that values racial & social justice. We strongly encourage all persons to apply, including members from all racial and ethnic groups and members of the LGBTQIA+ community.