Patient Access Representative I

Riverside Health; United States; On-site; USD 22,000 - 29,000; Full time

Job summary

Riverside Health System in Hampton, VA is hiring a Patient Access Representative to support admissions, registration, and insurance verification. The role requires accuracy in collecting patient demographics and documentation, while guiding patients through the admission process to ensure smooth, timely care.

The position emphasizes strong customer service, teamwork, and adherence to hospital policies, with location-based pay and opportunities to grow within Riverside Health System.

Qualifications

• High School Diploma or GED required.
• CPR/BLS Certification - AHA/ARC within 30 days (Required) and First Aid - AHA/ARC within 30 days (Required).
• 2 years Medical Clerical experience preferred and 2 years Behavioral Health Care preferred.

Responsibilities

• Demonstrates excellent customer service in person or via telephone for referrals for assessment or admission to the hospital.
• Completes pre-admission and admission data including intake and EMTALA/patient tracker logs.
• Works with patients, referral sources, and law enforcement to ensure documentation is signed and completed.
• Serves as an initial contact for patients and families seeking intervention or support.
• Greets persons upon arrival and supports supervision and comfort of persons.
• Completes insurance verifications, pre-certifications and authorizations for reimbursement from carriers.
• Performs valuables and contraband search documentation for admission preparation.
• Identifies process improvement opportunities to improve efficiency and coordination across departments.
• Monitors patient safety with rounds and safety checks and coordinates patient transports.

Education

High School Diploma or GED

Job description

Hampton, Virginia

Hiring Range $16.20 - $21.08/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Overview

The position must be able to demonstrate the knowledge and skills necessary to clerically support Patient Accounting and Admissions. The Patient Access Representative is responsible for carrying out all policies and procedures associated with the registration, insurance verification, and documentation of patients presenting to Admissions, completing functions necessary to patient admission to unit as well as the clerical support functions of registration. Effective use of department computer systems to carry out daily work activities. Assists Manager with special projects. Ensures adherence to established policies and procedures. Assists in the organization of and review of activities which support patient care delivery as it relates to patient inquiries, registration, insurance verification, and documentation of patient demographic information. Must be able to work under changing conditions and with some interruptions. May be required to work in other areas according to the department and facility needs. The Patient Access Representative works under the supervision of the supervisor and ED Manager.

What you will do

• Demonstrates excellent customer service in person or via telephone through answering incoming call or walk in requests for referral for assessment and/or admission to the hospital for psychiatric and/or chemical dependency treatment.
• Completes pre-admission and admission data as part of comprehensive admission process including intake and EMTALA/patient tracker logs used as part of maintaining documentation of patient visits and minimal wait times to ensure patient safety and comfort.
• Works with patients, referral sources, and law enforcement to ensure all required documentation is signed and completed as part of the patient’s medical record.
• Serves as an initial contact for patients, families, referral sources, and/or allied agencies seeking intervention or support.
• Greets persons upon arrival.
• Supports in supervision and comfort of persons.
• Completes thorough and timely insurance verifications, pre-certifications and authorizations to ensure reimbursement from carriers to Riverside Health System for delivered services. This includes TDO processing of paperwork and communication HPR5 community resource.
• Completes valuables and contraband search documentation as part of preparing patients for admission to unit.
• Identifies process improvement opportunities related to efficiency, appropriateness, productivity and/or coordination of activities/services with other departments and personnel. This includes ordering of office supplies and maintains inventory.
• Closely observes patient behavior and condition while maintaining a safe and clean environment following hospital and unit policies and procedures to include safety rounds and safety checks.
• Consistently demonstrates ability to assess and facilitate/coordinate patient transports and Riverside Health System initiatives with focus to maintain safe practices with the coordination and planning for patient transports.
• Provides assistance for multiple RHS service lines.

Qualifications

• Education: High School Diploma or GED, (Required)
• Experience: 2 years Medical Clerical (Preferred) and 2 years Behavioral Health Care (Preferred)
• Licenses and Certifications: CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required) and First Aid - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers. If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities. Unfortunately, job scams are on the rise across the country, and we want to help you feel confident in knowing what is — and is not — part of our hiring process. Learn more about how to recognize a legitimate Riverside job opportunity and what to do if you suspect a scam by visiting this site.