Position Title
Patient Access Representative
Position Code
PtAccessRp-____
Department
Patient Access
Safety Sensitive
Yes
Reports to
Patient Access Manager
Exempt Status
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
- Customer Service and Patient Satisfaction:
- Provides excellent customer service, contributes to overall satisfaction, 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 or education is needed (e.g., denied authorizations, out‑of‑pocket liabilities, coverage options, payment plans).
- Consistently demonstrates willingness to assist coworkers to support department efficiency and positive customer feedback goals.
- Participates in ongoing 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 defined guidelines.
- Enters new patient data and/or verifies records are up to date, confirms EHR completeness, 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 is complete and scanned into the patient’s electronic health record (insurance cards, photo IDs, physician orders, and other admission documents).
- Obtains signatures on all required forms.
- Manages co‑payments, deductibles, allowances, etc. as instructed.
- Patient Processing:
- Accurately balances daily cash, completes daily cash log, bank deposit slip, and daily reports to Patient Financial Services.
- Accurately utilizes insurance eligibility/audit tools and reports/correct variances within the EMR.
- Quality performance scores meet defined goals.
- 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 Responsibilities:
- Meets all PAR requirements.
- Provides day‑to‑day leadership, supervises PAR team members, trains and orients new hires, 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 staff scheduling to ensure appropriate coverage.
- Participates in interviews for hiring new staff and provides feedback to supervisors for performance evaluations.
- Identifies, supports, and manages process improvement initiatives for the team.
- Collaborates with management to assist in day‑to‑day operations of the team.
Qualifications
- Demonstrates ability to multitask, prioritize appropriately, and manage 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:
- PAT: Minimum 1 year customer service or office setting experience.
- Lead PAR: Minimum 1 year registration or billing experience in a healthcare setting.
- Certification: American Heart Association BLS.
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
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 the 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.