Patient Access Representative | Shelby Hospital

Logan Health Shelby; Shelby (MT); On-site; USD 42,000 - 60,000; Full time

Job summary

Logan Health Shelby seeks a patient registration specialist to handle demographic and insurance data, verify authorizations, and communicate patient liability. This role supports the registration area with strong attention to accuracy, confidentiality, and teamwork.

The position requires experience in healthcare administration, knowledge of medical terminology, and proficiency with Microsoft Office and registration software.

Qualifications

• Related coursework beyond high school or experience in a complex administrative support position required.
• Previous work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs preferred.
• Associate’s or Bachelor’s degree preferred.
• Minimum of one (1) year experience in a customer service focus position required.
• Possess knowledge and understanding of medical terminology and medical coding preferred.
• Patient Access (scheduling, registration, financial clearance), insurance verification, billing or certified medical assistant experience preferred.
• Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
• Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.

Responsibilities

• Prioritizes and completes registrations in the order of the patients’ acuity level as determined by the clinical staff and department protocol.
• Interviews patient or family member to gather demographic, insurance and/or visit specific information, and verifies data received from previous visits or pre-registration.
• Ensures accurate collection and inputs critical data elements.
• Launches insurance verification software to verify insurance eligibility and benefits.
• Calculates and communicates out of pocket liability as appropriate.
• Collects and processes payment for current service and any previous balances consistent with the cash management and posting policies.
• Identifies and refers self-pay patients to financial counseling per department procedure.
• Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to leadership.
• Meets productivity, quality requirements, and takes ownership of work to ensure excellent service is provided.
• Develops and maintains knowledge and skills to identify insurance plans correctly in systems and understands contract requirements to ensure accurate insurance information.
• Provides administrative services to support effective and efficient operations to assigned area(s).

Skills

Customer service

Interpersonal skills

Attention to detail

Communication

Teamwork

Critical thinking

Education

Associate’s degree preferred

Tools

Registration software

Microsoft Office Suite

Job description

This position is responsible for completing patient registration duties and providing administrative support for assigned area(s). Collects and validates accurate patient demographic and insurance information, verifies authorizations and referrals as required and data enters necessary information into registration system. Informs the patient of estimated liability at the time of service, collects patient liabilities, identifies patients in need of financial assistance and refers patients to financial counseling as necessary.

Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence.

Qualifications

Related coursework beyond high school or experience in a complex administrative support position required. Previous work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs preferred. Associate’s or Bachelor’s degree preferred. Minimum of one (1) year experience in a customer service focus position required. Possess knowledge and understanding of medical terminology and medical coding preferred. Patient Access (scheduling, registration, financial clearance), insurance verification, billing or certified medical assistant experience preferred. Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed. Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy. Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently. Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.

Job Specific Duties

Prioritizes and completes registrations in the order of the patients’ acuity level as determined by the clinical staff and department protocol. Interviews patient or family member to gather demographic, insurance and/or visit specific information, and verifies data received from previous visits or pre-registration. Ensures accurate collection and inputs critical data elements. Launches insurance verification software to verify insurance eligibility and benefits. Calculates and communicates out of pocket liability as appropriate. Collects and processes payment for current service and any previous balances consistent with the cash management and posting policies. Identifies and refers self-pay patients to financial counseling per department procedure. Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans. Proactively communicates issues involving customer service and process improvement opportunities to leadership. Meets productivity, quality requirements, and takes ownership of work to ensure excellent service is provided. Develops and maintains knowledge and skills to identify insurance plans correctly in systems and understands contract requirements to ensure accurate insurance information. Provides administrative services to support effective and efficient operations to assigned area(s).

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Maintains regular and consistent attendance as scheduled by department leadership.

Shift and Schedule

Shift: Day Shift - 8 Hours (United States of America)

Schedule: Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Pre-Employment Screening Requirements

If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes: Criminal background check Reference checks Drug Screening Health and Immunizations Screening Physical Demand Review/Screening.

Equal Opportunity Employer

Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources. At Logan Health, our work is driven by our mission, vision, and values: Our Mission Quality, compassionate care for all. Our Vision Reimagine health care through connection, service, and innovation. Our Core Values Be Kind – We foster compassion and positivity in our work environment. Work Together – Collaboration leads to innovation, efficiency, and improved communication. Trust and Be Trusted – We build trust by acting with authenticity, empathy, and good intent. Strive for Excellence – We continually push ourselves to improve, innovate, and deliver high-quality care and services.