Patient Access Rep (As Needed 1st Shift Weekends) - Carolina Forest
Erym Cx · Myrtle Beach, South Carolina, United States · onsite
Responsibilities:
Job Summary:
The Patient Access Representative serves as a key point of contact for patients by collecting and validating patient information, coordinating scheduling activities, verifying insurance coverage, and supporting accurate registration and billing processes. This role promotes a positive patient experience through financial counseling, patient engagement, appointment management, and navigation assistance while ensuring compliance with HIPAA regulations and organizational standards.
Key Responsibilities:
- Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs. Enters accurate patient information into the electronic health record.
- Maintains confidentiality of patient information and complies with HIPAA regulations.
- Correctly transcribes and validates patient orders.
- Schedules, re-schedules, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.
- Verifies and correctly assigns insurance coverages based on eligibility responses.
- Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or outstanding balances.
- Monitors and resolves errors in assigned workqueues.
- Advocates for patient engagement, including activation of MyChart.
- Assists with wayfinding and connecting patient to care.
- Performs additional duties as assigned to support departmental and organizational goals.
Education & Experience:
- High school diploma or GED preferred. In lieu of high school diploma or GED, experience in a related field may be considered.
- Prior healthcare, medical office, or insurance experience preferred.
Essential Skills:
- Basic data entry and computer skills, including Microsoft Office products.
- Ability to work in a fast-paced metric driven environment that is patient centered.
- Fundamental understanding of KPI’s and thresholds to measure productivity.