Patient Access Representative I - Admissions

West Tennessee Healthcare; Jackson (TN); On-site; USD 21,000 - 34,000; Part time

Job summary

West Tennessee Healthcare is seeking a Part-time Patient Access Representative I in Jackson, TN. You will interview patients and guarantors to gather necessary information, perform financial clearance, verify insurance, and guide families on financial responsibilities.

You will coordinate referrals and authorizations while working with clinical staff to support smooth admissions. The role emphasizes accurate data collection, excellent communication, and maintaining patient-friendly service, with

Qualifications

• Experience in healthcare or related field preferred.
• Ability to interview patients and guarantors and collect information accurately.
• Familiarity with insurance verification, financial clearance, and referrals is a plus.

Responsibilities

• Complete financial clearance for patients and families.
• Conduct pre-registration and registration with accurate data collection.
• Verify insurance payer plans and eligibility in the system.
• Identify financial counseling needs and guide patients accordingly.
• Coordinate referrals and treatment authorizations as required.
• Maintain organized files and resolve patient issues promptly.

Skills

Interpersonal skills

Communication

Data entry

Patient interviewing

Education

High School Diploma

Tools

Automated Patient Accounting System

Job description

Patient Access Representative I - Admissions### Patient Access Representative I - AdmissionsApply: Jackson General: Part time: Posted Yesterday: R-202617937Category:Admin SupportCity:JacksonState:TennesseeShift:8 - Other Shift (United States of America)**Job Description Summary:**This position is responsible for completing the financial clearance process within Patient Access Services and creating the first impression of WTH’s services to patients and families and other external customers. The PAS Representative must be able to articulate information in a manner that patients, guarantors, and family members understand so they know what to expect and have an understanding of their financial responsibilities. This position assumes responsibility for collecting and documenting information on behalf of the patient. The PAS Representative may be responsible for completing the pre-registration, registration, insurance verification, benefits verification, certification, referral management, patient liability collections, and medical necessity check -- as well as interviewing patients and guarantors to obtain information to screen for financial counseling, verifying eligibility and corresponding benefit levels, coordinating referrals, and obtaining treatment authorizations. The PAS representative will also work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial service## **ESSENTIAL JOB FUNCTIONS:*** Process - Maintains the best practice routine per department guidelines.* Daily work queues are maintained at acceptable levels according to department policies.* Correspondence worked daily to current.* Registration - Performs financial clearance process by interviewing patients and collecting and recording all necessary information for pre-registration and registration of patients.* Ensures that proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.* Verifies relevant group/ID numbers.* Completes the registration process according to established policies and procedures.* Informs families with inadequate insurance coverage regarding financial assistance through government and financial assistance programs.* Performs initial financial screening and refers accounts for financial counseling and/or appropriate eligibility assessments.* Ensures all referrals and treatment authorizations for all patient types have been obtained according to the outlined requirements.* If not obtained, contact payers for approvals.* Completes initial medical necessity checks.* Refers to the designated area if medical necessity fails or if referrals /authorizations are denied.* Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.* Maintains accurate files for pre-processing information as required.* Investigates, resolves, and documents patient problems in a timely and efficient manner.* Maintains accurate files for pre-processing information.## ## **JOB SPECIFICATIONS:****EDUCATION:*** High School Graduate, or equivalent**LICENSURE, REGISTRATION, CERTIFICATION:*** N/A**EXPERIENCE:*** 1-2 years of health care or related experience preferred.**NONDISCRIMINATION NOTICE STATEMENT** We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.### Join West Tennessee’s Most Trusted Health Care Team!West Tennessee Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered a position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to follow West Tennessee Healthcare’s accommodation precautions to mitigate the spread of illness.