Patient Access Representative - Waynesville | Full-Time, Day Shift

LE01 Phelps County Regional Medical Center; United States; On-site; USD 32,000 - 42,000; Full time

Job summary

Phelps Health in Missouri is seeking a Patient Access Representative to facilitate registrations, scheduling, and insurance verification. You will collect demographics, explain benefits, and guide patients through the initial healthcare experience.

The role emphasizes accurate data entry, compassionate customer service, and adherence to HIPAA while supporting efficient workflow and patient satisfaction.

Qualifications

• High school diploma or GED required.
• Certificate or diploma from a school specializing in Medical Front Office and/or Medical Terminology preferred.

Responsibilities

• Creating a welcoming and efficient environment for patients, addressing their needs, and providing support throughout the initial stages of their healthcare journey.
• Collect accurate demographic information and enter it into the system.
• Update existing patient records with changes.
• Obtain necessary consents and forms from patients.
• Verify patients' insurance coverage via providers or EHR Real Time Eligibility or online systems.
• Ensure necessary pre-authorizations or referrals for services are obtained.
• Explain insurance benefits and financial responsibilities to patients.
• Provide exceptional customer service by answering phones promptly and professionally.
• Adhere to HIPAA regulations and maintain patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balance payments per hospital policy.
• Assure hospital compliance with regulatory requirements.
• Produce and distribute patient estimates.
• Maintain work queues to ensure efficient claims processing, patient satisfaction, and financial health.
• Assist patients with navigating the online patient portal.
• Be flexible as work assignments shift based on business needs.

Skills

Customer service

Education

High school diploma or GED

Medical Front Office certificate (preferred)

Medical Terminology certificate (preferred)

Job description

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.

General Summary

Patient access responsibilities include a wide range of duties aimed at facilitating patient access to healthcare services. These responsibilities generally involve patient registration, appointment scheduling, insurance verification, and providing information and support to patients. Patient access representatives, in particular, are often the first point of contact for patients, greeting them, collecting necessary information, and guiding them through the initial stages of their healthcare experience.

Essential Duties and Responsibilities

• Creating a welcoming and efficient environment for patients, addressing their needs, and providing support throughout the initial stages of their healthcare journey.
• Collect accurate demographic information (e.g., name, address, phone number, date of birth, insurance information) and enter it into the system.
• Update existing patient records with any changes.
• Obtains applicable consents and any required form(s) from patient.
• Verify patients' insurance coverage by contacting insurance providers or EHR Real Time Eligibility, or using online verification systems and ensuring the correct coverage is on the patient’s account.
• Ensure necessary pre-authorizations or referrals for services are obtained.
• Explain insurance benefits and financial responsibilities to patients.
• Provide exceptional customer service by answering phones promptly and professionally, addressing concerns, and providing information.
• Adhere to all HIPAA regulations and maintain patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balance payments in accordance with hospital policy.
• Assures hospital compliance with all regulatory agency requirements.
• Produce and distribute patient estimates.
• Maintain work queues to ensure efficient claims processing, patient satisfaction, and organizational financial health.
• Assist patients with navigating and using the online patient portal.
• Be flexible and adaptive as work assignment and area may shift based on business needs and priorities.

Education

High school diploma or GED required. Certificate or diploma from a school specializing in Medical Front Office and/or Medical Terminology preferred.

Work Experience

Six months of office and/or call center, customer service or healthcare experience is preferred. Knowledge of computers and other standard office equipment required.

Certification/License

N/A

Mental/Physical Requirements

Ability to concentrate, pay close attention to detail and perform duties under time restrictions. Normal mental concentration on variable operations for short periods of time and moderate concentration with repetitive operations for long periods of time. Work involves extensive use of computer with frequent interruptions. Ability to stand, walk, sit and reach. Must be able to assist and transport patients in wheel chairs. Ability to lift 10lbs required.

Working Conditions

The standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases. Ability to work shifts is required.

At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself!

Phelps Health serves over 200,000 residents in south-central Missouri. Phelps Health is county-owned, non-tax supported and is overseen by a five-member elected board. Phelps Health employs more than 1,900 people, including 100-plus providers. Phelps Health, which includes a hospital licensed for 240 patient beds, serves a six-county area, with its main campus and several clinics located in Rolla, Missouri. Phelps Health also has clinics in Salem, St. James, Vienna and Waynesville, Missouri.