Patient Access Representative

Company: Legacy Health
Location: Portland
Posted on: May 7, 2025

Job Description:

Patient Access Representative US-OR-PORTLANDJob ID: 25-42759Type: Regular Full-TimeUnityOverviewYou are the first face that patients see, and you set the tone for a personable, positive experience. In short, you are the face of Legacy. -As we strive to fulfill our mission of making life better for others, we need caring and capable individuals to assist patients in every aspect of their health care journey. As a Patient Access Representative, you will use your strong communication and interpersonal skills to collect insurance and other information from patients, help patients and families determine financial responsibilities, collect co-payments, and obtain required legal documentation for state and federal compliance regulations. Your ability to create accurate medical and financial records will benefit patients as well as medical professionals and staff. -ResponsibilitiesThe Patient Access Representative is the primary non-clinical contact for all hospital-based patient visits. Greets, registers, checks-in and admits patients depending on scope and service line. Key duties include the collection of demographics, medical providers involved in the patient's care, medical decision makers, the verification of insurance/benefits, and determination of financial responsibilities. Assists patients and their families in determining active insurance coverage and provides information on accessing financial and insurance resources. Offers self-pay information and discounts as appropriate. Collects appropriate copayments, co-insurances, deposits and payments. Works in collaboration with most Revenue Cycle departments and each hospital's units/departments to create accurate medical and financial records. Collects and provides required legal documentation to meet State and Federal compliance regulations. - - - - QualificationsEducation:High School diploma or equivalent required. A minimum of two years college education including satisfactory completion of college level Health Records coursework preferred. -Experience:A minimum of one year of healthcare experience or equivalent education in at least one of the following areas required: Patient Access, Medical Records/Health Information or applicable clerical support experience. Six months customer service experience required. Previous registrar and third-party payor experience preferred. An understanding of health plan and benefit structures preferred. -Skills:

• Effective written and verbal communication skills.
• Critical thinking and problem-solving skills required.
• Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.
• Demonstrated effective interpersonal skills which promote cooperation and teamwork.
• Ability to withstand varying job pressures and organize/prioritize related job tasks.
• Ability to perform multiple tasks at the same time.
• Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner.
• Ability to deal with people in emergent and/or stressful situations.
• Ability to identify alternative means of communication as needed.
• Ability to adapt to change.
• Keyboard skills and ability to navigate electronic systems applicable to job functions.
• Ability to maneuver through several applications including electronic medical records, Microsoft Office applications, different software, website, and databases.
• Demonstrated understanding of complex collection issues.
• Demonstrated knowledge of multi-payor systems, and understanding and applying e-coverage results preferred.
• Demonstrated knowledge of billing/collection, past balances, deposits and knowing State and Federal rules and regulations preferred.
• Ability to understand and adhere to EMTALA (Emergency Medical Treatment and Labor Act) guidelines.
• Able to communicate patient financial communication, offer financial aid services, educating patients on eligibility and in and out of network status.
• Ability to enroll patients into Presumptive Medicaid services - which entails a detailed questionnaire with the patient to determine eligibility
• Knowledge of medical terminology. -LEGACY'S VALUES IN ACTION: -Follows guidelines set forth in Legacy's Values in Action. -Equal Opportunity Employer/Vet/Disabled Compensation details: 21.97-29.75 Hourly WagePIb5b1dccc6db5-37820-37456293

Keywords: Legacy Health, Vancouver , Patient Access Representative, Other , Portland, Washington