Patient Access Representative (Per Diem)

St. Luke's University Health Network - Nurse; Kutztown (Berks County); On-site; USD 30,000 - 40,000; Part time

Job summary

A leading healthcare provider is seeking a Patient Access Representative I to manage patient registration processes in outpatient and Emergency Department settings. The role emphasizes excellent customer service, accurate data entry, and compliance with healthcare regulations. Candidates should possess strong interpersonal skills and a high school diploma, with healthcare certifications preferred. This position may require per diem hours, including early mornings and weekends, ensuring flexible staffing to meet clinic needs.

Qualifications

• Excellent customer service and interpersonal skills required.
• Healthcare-related certification or degree preferred.
• Previous medical administrative experience is advantageous.

Responsibilities

• Identify and validate patients in the hospital information system.
• Handle patient registration and insurance verification.
• Manage point-of-service collections and transcribe outpatient diagnostic testing orders.

Skills

Customer Service

Interpersonal Skills

Computer Proficiency

Typing Skills

Insurance Knowledge

Medical Terminology

Education

High school diploma or equivalent

Healthcare-related certification or degree

Tools

Epic

Job description

St. Luke's is proud of the skills, experience, and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization, which includes an unwavering commitment to excellence in caring for the sick and injured, educating physicians, nurses, and other healthcare providers, and improving access to care in the communities we serve, regardless of a patient's ability to pay.

Job Summary

The Patient Access Representative I is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, collecting point-of-service payments, managing work queues, and more. The role requires excellent customer service skills and adherence to PCRAFT values. The representative communicates with SLPG practices, clinical/diagnostic departments, and revenue cycle departments to ensure an excellent patient experience, accurate claim submission, and payment for services. Occasional travel between campuses or regional locations may be required, with cross-training in all departments at the campus or within the region.

Job Duties and Responsibilities

1. Identify and validate patients in the hospital information system, maintaining the integrity of electronic medical records, and report any possible identity theft.

2. Maintain knowledge of network policies on patient identification, including procedures like Merge, Chart Corrections, and Look-Up.

3. Handle patient registration, including demographics, emergency contacts, diagnostic orders, provider information, insurance verification, and point-of-service collections. May involve contacting providers or reviewing medical charts.

4. Cross-train in all areas of the location or region, including outpatient and Emergency Department services.

5. Greet and direct patients and visitors, providing courteous service and monitoring visitor policies.

6. Answer calls and provide facility information.

7. Promote usage of MyChart and patient self-service options.

8. Assist with Welcome Kiosk and On My Way technology, monitoring patient arrivals and journey.

9. Coordinate with SLPG practice or Network Prior Authorization Department for insurance referrals and pre-certifications.

10. Obtain provider identifiers like Medical License Number, NPI, and UPIN for outpatient providers.

11. Stay informed of current insurance and government regulations, providing estimates to self-pay patients and notifying out-of-network patients prior to services.

12. Verify insurance/self-pay status via online eligibility or direct contact with payers.

13. Manage point-of-service collections, including credit card processing, cash handling, and deposit preparation.

14. Transcribe outpatient diagnostic testing orders accurately, verifying all required information and scheduling tests appropriately.

15. Ensure proper patient prep instructions are followed to prevent delays or issues.

16. Maintain knowledge of all relevant policies and complete required trainings and competencies.

17. Register vendors and clergy, providing necessary information.

18. Address minor patient or visitor issues promptly and escalate significant issues to leadership or security.

19. Complete government forms such as Medicare messages and observation notices.

20. Collect and scan clinical documentation, batching for Health Information Services twice daily.

Physical and Sensory Requirements

Sitting or standing up to 8 hours daily, frequent use of hands for data entry, walking, and pushing wheelchairs up to 250 pounds. Occasionally lifting up to 15 pounds. Normal hearing and vision required.

Minimum Qualifications

High school diploma or equivalent required; healthcare-related certification or degree preferred.

Training and Experience

Excellent customer service and interpersonal skills required. Computer proficiency, typing skills, insurance knowledge, and familiarity with medical terminology are preferred. Previous medical administrative experience or healthcare education is advantageous. Knowledge of Epic is preferred.

Hours

Per diem, as needed, including early mornings, evenings, weekends, and holidays, based on clinic hours and staffing needs.

Please complete your application with your full legal name and current address, including employment history for the past seven years. Upload a current resume and create a profile upon submission. Thank you for your interest in St. Luke's!

St. Luke's University Health Network is an Equal Opportunity Employer.