Patient Access Representative

SSM Health; Waupun (WI); On-site; USD 36,000 - 45,000; Full time

Job summary

SSM Health in Wisconsin is seeking a Patient Access Representative to serve as a key contact for patients, providers and referral sources, coordinating referrals and verifying information to ensure timely access to care. The role involves scheduling procedures, gathering demographic, insurance and clinical data, and supporting insurance pre-certification/authorization.

No prior experience required; high school diploma or equivalent is acceptable.

Qualifications

• High School diploma or GED or 10 years of work experience.
• No prior experience required.
• Ability to communicate with patients and staff.

Responsibilities

• Gathers information from patient and enters into database.
• Schedules patient procedures efficiently and coordinates schedules.
• Assists with coordination of insurance pre-certification/authorization.
• Counsels patient, participant or their representative regarding pre-service requirements.
• Performs clerical and reception duties for patient registration.
• Performs other duties as assigned.

Skills

Customer service

Data entry

Verbal communication

Insurance pre-certification

Education

HS diploma/GED or 10 years experience

Job description

It's more than a career, it's a calling.
WI-Fond du Lac Regional Clinic Waupun

Worker Type

Regular

Job Highlights

Join a team where your work maters - every moment, every patient, every community. At SSM health, you'll be empowered to grow, supported to thrive and inspired to make a lasting impact.
In this role, as a Patient Access Rep you will serve as a key point of contact for patients, providers, and referral sources, coordinating referrals, verifying information, and helping ensure patients receive timely access to care.
Department: Intake/Admissions (Home Health & Hospice)
Schedule: Monday through Friday, 8:00 AM to 5:00 PM, with a shortened day to be determined

Job Summary

Responsible for communicating with patients, participants and staff to accurately schedule patients for prescribed procedures and gather the necessary demographic, insurance and clinical information for the procedure.

Job Responsibilities and Requirements

Primary Responsibilities

• Gathers information from patient and enters into appropriate database. Seeks appropriate resources to resolve issues about the type, date or location of prescribed procedures.
• Schedules patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources. Coordinates and communicates schedules.
• Assists with coordination of activities related to insurance pre-certification/authorization.
• Provides counseling to patient, participant or their representative regarding pre-service requirements and instructions.
• Performs clerical and reception duties associated with patient registration.
• Performs other duties as assigned.

Education

• High School diploma/GED or 10 years of work experience

Experience

• No experience required

Physical Requirements

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Required Professional License And/Or Certifications

• None

Department

7893000166 SUPPORT SVCS

Work Shift

Day Shift (United States of America)

Scheduled Weekly Hours

36
SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.