Patient Access Representative-PerDiem

Kingman Regional Medical Center; Kingman (AZ); On-site; USD 38,000 - 52,000; Full time

Job summary

Kingman Regional Medical Center is seeking a Patient Access Representative to manage patient registrations, verify benefits, collect payments, and ensure accurate data entry in the electronic health record. The role requires flexibility to work varied hours and provide excellent customer service in a fast-paced setting.

The position emphasizes collaboration with the Patient Access Manager and cross-functional teams to support accurate pre-authorization processes and timely patient processing.

Qualifications

• Provides excellent customer service and contributes to patient satisfaction.
• Demonstrates effective oral and interpersonal communication.
• Ability to multitask and manage time efficiently.

Responsibilities

• Pre-register, register, schedule, reschedule, and discharge patients according to guidelines.
• Verify insurance eligibility and benefits; obtain pre-authorizations when needed.
• Collect co-pays and balance daily cash; maintain cash log and deposit slips.
• Lead PAR functions: train staff, QA audits, and assist with staffing.

Skills

Customer service

Communication

Multitasking

Time management

Education

High School Diploma or equivalent

Job description

Position Title: Patient Access RepresentativePosition Code: PtAccessRp-____
Department: Patient AccessSafety Sensitive: Yes No
Reports to: Patient Access ManagerExempt Status: Yes No
Position Purpose:
All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.
.
At the direction of management, completes the registration process for patients. This includes verification of benefits, discharge of patients, collection of copays or payments, balancing of accounts, and general data entry.

Key Responsibilities

• PAR:
• Customer Service and Patient Satisfaction
• Provides excellent customer service, contributes to the overall satisfaction of the patient experience, and adheres to the Behavioral Expectations Agreement.
• Promptly fields and/or directs incoming calls; responds to patient and/or staff inquiries.
• Refers patient accounts to financial counselors when further explanation/education is needed (denied authorizations, out-of-pocket liabilities, coverage options, payment plans, etc.).
• Consistently demonstrates a willingness to assist co-workers to support department efficiency and to support positive customer feedback goals.
• Participates in on-going process improvement activities for the team.
• Floats to other work areas, as requested, and regularly works nights, weekends, holidays, and extended hours when needed.

Registration/Admitting/Discharge of Patients

• Demonstrates ability to preregister, register, schedule, reschedule, and discharge patients according to the defined guidelines.
• Enters new patient data and/or verifies patient records are up to date, confirms the completeness of the electronic health record (EHR) and makes changes as necessary.
• Verifies insurance eligibility and benefits within a timeframe determined by KHI.
• Obtains pre-authorizations from third-party payers in accordance with payer requirements, when needed.
• Ensures identified information are complete and scanned into patients’ electronic health record (EHR) (insurance cards, photo ID’s, physician orders, and other admission documents.
• Obtains signatures on all required forms.
• Demonstrates ability to manage co-payments, deductibles, allowances, etc. as instructed.

Patient Processing

• Accurately balances daily cash to include completion of daily cash log, bank deposit slip, and daily reports to Patient Financial Services.
• Accurately utilizes insurance eligibility/audit tools and report/correct variances within the EMR.
• Quality performance scores must meet defined goals.
• Verifies insurance eligibility and benefits within a timeframe determined by KHI and obtains pre-authorizations from third-party payers in accordance with payer requirements.
• Collects upfront co-pays, deductible and coins securing deposits on self-pay and high accounts.
• Regularly works nights, weekends, holidays, and extended hours when needed.

Lead PAR

• Meets all PAR requirements.
• Provides day to day leadership and supervision of PAR team members, trains and orients new hire PAR’s, and works with Supervisors to provide continuous training of existing staff.
• Performs QA audits of registrations, works account checks, and responds to account denials.
• Assists with the scheduling of staff to ensure appropriate coverage.
• Participates in the interviews for hiring new staff within the unit, as well as providing feedback to the PAR supervisors for performance evaluations.
• Identifies, supports, and manages process improvement initiatives for the team.
• Collaborates with management to assist in the day-to-day operations of the team.

Qualifications

• Demonstrates ability to multitask, prioritize appropriately, and management time efficiently.
• Effective oral and interpersonal communication skills.
• Demonstrates ability to utilize a variety of technological resources (phone, computer hardware, various software programs, fax, scanner)
• Education: High School Diploma or equivalent
• Experience:
  • PAR: Minimum of 1 year of experience working in a customer service position and/or office setting
  • Lead PAR: Minimum of 1 year of registration or billing experience in a healthcare setting
• Certification: American Heart Association BLS

The following Departments/Clinics also require DPS Level 1 Fingerprint Clearance Card:

• 8050 Resident Clinic
• 6601 Joshua Tree Pediatrics
• 6616 Urgent Care
• 6600 Mountain Shadow Primary Care
• 6605 Golden Valley Medical Center
• 8110 Patient Access
• 6504 Physician Services Float Pool

Preferences

Preferred attributes for the position which are not absolutely required in the minimum qualifications (i.e., multi-lingual, master’s degree)

• Previous experience in healthcare registration, scheduling, and/or authorizations

Special Position Requirements

Exposure Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues.

Work Requirements

• Able to reach above and below shoulder level, lift, bend, kneel, squat, stand, walk, and sit for the full scheduled shift.
• Able to use telephone and computer software and hardware for most of the shift (90% of the day).

ACKNOWLEDGEMENT:
This job description applies to all KHI facilities and is representative of the essential job duties this position will perform. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Print Employee NameEmployee SignatureDate

Date Staff Position Description Created / Revised: 6/28/2019; 7/1/2019; 9/10/2019; 2/20/2024; 7/16/2025