Patient Access Representative

Children's National Medical Center; Washington (District of Columbia); On-site; USD 43,000 - 86,000; Full time

Job summary

An established healthcare provider is seeking a dedicated Patient Access Representative to join their dynamic team. In this role, you will provide essential administrative support and patient services, ensuring accurate scheduling and verification of patient information. Your ability to communicate effectively with patients, families, and healthcare professionals will be key to enhancing patient experiences. This position offers a unique opportunity to develop your skills in a supportive environment while contributing to the well-being of the community. If you are passionate about making a difference in healthcare, this could be the perfect role for you.

Qualifications

• 2 years of related experience required.
• Broad knowledge in administrative processes and customer service.

Responsibilities

• Provide patient services and administrative support.
• Verify insurance eligibility and collect demographic information.
• Schedule appointments and manage patient inquiries.

Skills

Customer Service Skills

Administrative Processes

Computer Knowledge

Microsoft Office (Word & Excel)

Typing (35 wpm)

Education

High School Diploma or GED

Tools

EPRS

Cerner

IDX

McKesson

Job description

Job Description - Patient Access Representative (25000185)

Job Description

Patient Access Representative - ( 25000185 )

Description

Description This position reports to the Patient Access Supervisor or Manager. Provide patient services and administrative support in ancillary operations. Interact with parents, patients, physicians and other staff under moderate supervision in a courteous manner. Provide assistance to other employees within their department as well as other departments. Collect and verify all demographic information to ensure accuracy . May provide required notification of scheduled and unscheduled services according to insurance provider requirements. May be responsible to schedule patients for ancillary appointments. Position may be required to float to ancillary patient access areas for coverage (ED, RAD, LAB, AMSAC etc.). Next step in career ladder is Senior Patient Access Rep.

Qualifications

Qualifications Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
2 years Related experience (Required)

Required Skills/Knowledge
Broad knowledge in administrative processes, customer service skills.
Computer knowledge necessary.
Microsoft Office experience preferred (Word & Excel).
Complete Patient Access training curriculum and pass all competency assessments.
The ability to type minimum of 35 words per minute required.

Functional Accountabilities
Patient Services

• Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department. Verify applicable charge codes corresponds with diagnostic codes. Enter information into billing/registration system.

• Complete computer aided, on-line registration screen with parent/guardian via telephone or in person in professional & courteous manner.

• Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy . Complete bedside registration for ED patients.

• Reschedule appointment for patients who did not show or for the ancillary services cancellations by providers/technologist. Schedule follow up appointments at check out if applicable.

• Greet patients and parents courteously. Arrive patient in appropriate system based on department policy .

• Obtain required consents for department & ensure distribution of compliance related materials (i.e. HIPPA Privacy Notice, Patient Rights). Obtain copy of insurance card and photo ID to be stored in medical record (copy or scan activity required). Ensure applicable insurance company and CNMC HIM department receive copies of appropriate forms/documentation. Complete all documentation in accordance with department policy and procedure.

• Respond to patient portal work lists (i.e. appointment requests, fax queues, email requests, etc. May include messaging center work lists in the future).

Information Verification

• Verify insurance eligibility using applicable eligibility system. Ensure managed care carve outs (lab and radiology carve outs) are adhered to.

• Advise leadership of any authorization issues at the time of check-in. Identify surgeries/diagnostic testing without an authorizations. Contact provider’s office or scheduling coordinator to address issue timely without delaying patient care.

• Notify parents of the need for completed insurance referral form or pre-authorization prior to scheduled/unscheduled appointments.

• Discuss co-payment, deposits, payment in full, or past due balance collections with parents in a professional & courteous manner.

• Counsel parents or refer parent to Financial Information Center (FIC) for establishing payment schedule or method of payment.

• Verify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: goal is to obtain authorizations 5 days in advance of service.

• Utilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in synch.

Cash Collection

• Collect and record co-payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85% of the collection target for the department.

• Maintain departmental requirements regarding cash controls and collections

Billing Preparation

• For ancillary services ensure all applicable orders/scripts/referrals are obtained prior to services being rendered.

• Appropriately clear all walk-in and ensure scheduled/unscheduled appointments are linked to scheduling system.

• Responsible to ensure daily quality review of all registration processed real-time.

Office Support

• Answer telephone and address caller needs appropriately. Avoid transferring calls for better service to families. Meet department standards relative to ACD policies if applicable. Manage voice mail messages within same business day .

• Distribute mail. May work returned mail as needed.

• All staff are responsible for information distributed via e-mail. Staff should check work email a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).

• Maintain office files and office supplies at P AR levels.

• Maintain clean reception area and work space.

• Other support as needed.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Primary Location

Primary Location

: District of Columbia-Washington

Work Locations

Work Locations

: CN Hospital (Main Campus) 111 Michigan Avenue NW Washington 20010

Job

Job

: Administrative Support / Customer Service

Organization

Organization

: Finance

Position Status : R (Regular) - FT - Full-Time

Shift : Day

Work Schedule : 8am-4:30pm

Job Posting

Job Posting

: May 9, 2025, 4:00:00 AM

Full-Time Salary Range

Full-Time Salary Range

: 43160 - 85259.2

Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here:Know Your Rights Pay Transparency Nondiscrimination Poster.

Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.