Patient Access Representative, Patient Access, Full Time, Third Shift

Self Regional Healthcare Inc.; Kansas City (MO, SC); On-site; USD 36,000 - 52,000; Full time

Job summary

Self Regional Healthcare Inc. seeks a patient access professional for full-time night shifts (8:30pm–7:00am) with varied days.

Responsibilities include scheduling, pre-certification, benefit verification, and accurate EPIC data entry to ensure proper patient registration and financial processing. The role requires fast response to customer needs, independent judgement, and effective communication with physicians, clinical and non-clinical staff.

Qualifications

• High school diploma or equivalent required.
• Healthcare industry knowledge preferred.
• Strong customer service and communication skills.
• Familiarity with medical terminology ICD-10 and CPT coding.

Responsibilities

• Schedule patient appointments and registrations for inpatient, outpatient and ER.
• Perform pre-certification and benefit verification; determine estimated patient responsibility.
• Explain hospital policies and financial responsibilities and obtain signatures.
• Enter demographic and financial data accurately in the EPIC system.
• Coordinate with physicians, nurses, and staff to ensure proper patient flow and entry into the health system.

Skills

Customer service

Effective communication

Medical terminology

ICD-10 & CPT Coding

Organizational skills

Attention to detail

Handling difficult customers

Education

High School Diploma or equivalent

Tools

EPIC system

Job description

Full Time, 8:30pm-7:00am, Varied Days

Responsible for performing scheduling, pre-certification, benefit verification and pre-certification, Requires fast response to customer needs, independent judgement, ingenuity and initiative in utilization of computers and other equipment. Works with staff and understand appropriate scheduling processes and how processes affect ancillary departments. Conducts patient and guarantor interviews for inpatient, outpatient and emergency care registration, Explains hospital policies and financial responsibilities and obtains all required signatures. Ensures that all demographic and financial data is obtained and entered in the EPIC system in an accurate and timely manner. Ensures that pre-certification and/or authorization is obtained to comply with insurance company policies. Determines estimated patient financial responsibility through verified insurance benefits, co-pays and deductibles and calculates estimated self-pay portions to be collected at time of registration. Controls the main line of communication with physicians, nursing, clinical staff, non-clinical staff and Patient Access Department to ensure appropriate patient scheduling for proper entry into and through the health care system. Performs all other duties as assigned by the management team.

Special Qualifications

• High School Diploma or equivalent
• General knowledge and experience in the healthcare industry is preferred
• Strong Customer service experience
• Ability to communicate effectively both orally and in writing
• Working knowledge of medical terminology ICD-10 and CPT Coding
• Ability to build productive internal and external working relationships
• Basic analytical skills
• Strong organizational skills and attention to detail
• Ability to handle challenging customers in a professional manner