Patient Access Representative

2 weeks ago


Providence, United States The Miriam Hospital Full time

Summary: Under the general supervision of the Supervisor and according to established policies and procedures interviews and registers all patients (Inpatient and Observation Emergency and Outpatients) to obtain demographic third party insurance and related financial information and enters to on-line computer system. Initiates reviews and follows-up on patient accounts to ensure proper data collection for billing. Verifies all demographic and insurance information and obtains referrals as required.

Responsibilities:

  • Greets and directs all patients families and visitors in a prompt and courteous manner.
  • Interviews patient or patients representative in order to obtain complete and accurate third party health insurance and related personal/financial information. Follows-up on missing data by interviewing patients families or calling employers nursing homes and other facilities.
  • Completes registration and enters all data obtained into hospital computer system. Prepares or completes manual records as follows:
  • Ensures patient is properly identified in system per department policy.
  • Verifies demographic and insurance information by asking open-ended questions.
  • Registers all patients (Outpatient ED Inpatient and Observation) by entering and/or verifying demographic insurance information into hospital information system. Upgrades account to an active account status.
  • Completes documentation required on financial clearance reports as indicated by Patient Advocate or Pre-Registration Office.
  • Utilizes on line tools and/or telephone to verify coverage determine level of benefits and confirm that the primary care physician (PCP) matches the PCP that is recorded in hospital system. Contacts insurance carrier or company for missing information when necessary.
  • Identifies primary and secondary insurer. Properly records insurance information in system.
  • Completes lien forms upon determination that a liability exists.
  • Gathers paper referrals from patients when required by the payer.
  • Utilizes system to determine self-pay balances for all patients.
  • Collects co-payments as required per financial clearance or as required by third party payor or department policy.
  • Explains consent financial and insurance forms to patients or designee and provides general hospital information regarding policy and procedure.
  • Generates patient registration record and plate and distributes appropriate copies. Verifies and updates all information.
  • Utilizes hospital department scheduling and workflow reports to complete daily work.
  • Asks patient for Advance Directive and includes with admission paperwork to go to nursing unit provides patients with information on Advance Directives if one is not prepared.
  • Explains and has patient sign Advance Beneficiary Notice (ABN) as required.
  • Completes medical necessity checks utilizing order entry system per hospital policy if not done during pre-registration process.
  • Distributes Payment Policy brochures when patient lacks evidence of adequate health insurance coverage according to established criteria.
  • Notifies Physicians office by phone or fax of patient arrival to Emergency Department and/or admission to hospital per department policy. (ER patients only)
  • May pre-admit/pre-register scheduled outpatients and inpatients in hospital system.
  • Contacts insured patient to verify demographics obtained at time of scheduling to complete any missing information.
  • Checks outstanding balances incurred for previous services prior to contacting patient and follow collection policy concerning prepayment prior to the provision of additional services.
  • Refers insured patients who cannot meet their financial obligations to Patient Financial Advocates (in accordance with department policy).
  • Updates status of financial clearance activities in system.
  • Prepares/assembles all necessary paperwork preparatory to the patients arrival.
  • Reviews/corrects third party payer eligibility reports.
  • Completes real time status transfers.
  • Authorizes occupancy and collect payment for Private Room differentials.
  • Monitors in-house accounts for open patient balances resulting from co-payments and deductibles.
  • Reviews all accounts prior to discharge to clear patient financially.
  • Coordinates with Nursing Department to assign patient beds in accordance with case management guidelines.
  • Attends and participates in staff meetings.
  • Protects and preserves patients right to privacy and confidentiality.

BASIC KNOWLEDGE: High school diploma or equivalent. Knowledge of medical terminology third party insurance information and standard office computer applications required. Knowledge of third party payer verification and authorization process preferred.

EXPERIENCE: Six to twelve months previous third party billing or hospital registration experience. Third party billing knowledge. Data entry skills and PC experience required.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Sitting for long periods of time at a workstation requiring the continuous use of a computer and telephone. May have to do moderate to excessive walking depending on the location of the assignment.

Location: The Miriam Hospital USA: RI: Providence
Work Type: Full Time
Shift: Shift 2



  • Providence, Rhode Island, United States HopeHealth Full time

    HopeHealth is hiring for a Patient Access Manager in Massachusetts or Rhode Island. The estimated salary range is $65,000 - $95,000 per year.About the Role:This is an exciting opportunity to join our team as a Patient Access Manager. In this role, you will oversee the timely and accurate processing of palliative referrals, hospice referrals, and hospice...


  • Providence, Rhode Island, United States Critical Access Network Full time

    As a Medical Evaluator for Critical Access Network, you will play a vital role in conducting evaluations for patients who require disability benefits. This is an excellent opportunity to work with a reputable organization and utilize your medical expertise to make a positive impact on patients' lives.About the PositionThis position requires you to conduct...

  • Clinical Liaison

    7 days ago


    Providence, Rhode Island, United States Dynamic Access LLC Full time

    Dynamic Access LLC Job Summary: Clinical Liaison for Vascular Access ServicesWe are seeking an experienced clinical liaison to join our team at Dynamic Access LLC. This role involves working closely with healthcare professionals to provide expert guidance on vascular access best practices and protocols.The ideal candidate will have a strong background in...

  • PICC RN

    2 days ago


    Providence, Rhode Island, United States Dynamic Access LLC Full time

    Job Description: Clinical Liaison - Central Venous AccessWe are seeking an experienced nurse to join our team as a Clinical Liaison for Central Venous Access. In this role, you will provide expert guidance and support to healthcare professionals regarding central venous access best practices and protocols.The ideal candidate will have a strong background in...


  • Providence, United States Brown Health Medical Group Full time

    Summary:The Patient Service Representative reports to the Practice Manager. The Patient Service Representative oversees and verifies the financial processes associated with patient services provided in the Practice. The Patient Service Representative greets patients, performs registration check-in functions, answers phones, schedules patient appointments,...


  • Providence, United States Brown Health Medical Group Full time

    Summary:The Patient Service Representative reports to the Practice Manager. The Patient Service Representative oversees and verifies the financial processes associated with patient services provided in the Practice. The Patient Service Representative greets patients, performs registration check-in functions, answers phones, schedules patient appointments,...


  • Providence, United States Rhode Island Hospital Full time

    Summary: Reporting to the Director of Patient Financial Services, plans, organizes, and directs activities associated with Emergency Department patient registration and billing, and in patient accounts cashier activities. Responsible for determining account balances and arranging payment schedules. Collaborates in planning, developing, and implementing...


  • Providence, United States Rhode Island Hospital Full time

    Summary: Reporting to the Director of Patient Financial Services, plans, organizes, and directs activities associated with Emergency Department patient registration and billing, and in patient accounts cashier activities. Responsible for determining account balances and arranging payment schedules. Collaborates in planning, developing, and implementing...


  • Providence, United States Brown Health Medical Group Full time

    Summary: The Patient Service Representative reports to the Practice Manager. The role involves overseeing and verifying the financial processes associated with patient services in the Practice. Responsibilities include greeting patients, performing registration and check-in functions, answering phones, scheduling appointments, obtaining referrals and...


  • Providence, United States Brown Health Medical Group Full time

    Summary: The Patient Service Representative reports to the Practice Manager. The role involves overseeing and verifying the financial processes associated with patient services in the Practice. Responsibilities include greeting patients, performing registration and check-in functions, answering phones, scheduling appointments, obtaining referrals and...


  • Providence, United States Butler Hospital Full time

    Obtains all demographic information Verifies Insurance eligibility via online resources or phone call when necessary and enters bundles in Avatar. Updates Teletracking with any anticipated insurance impact and any possible admissions. Completes MSPQ with patient/family member for all Medicare patients. Scans patient's insurance card and identification both...


  • New Providence, United States Summit Health Inc Full time

    Essential Job functions: Greets visitors, patients, and families in a friendly professional manner and directs them appropriately. Maintains an efficient patient flow through the registration process and provides excellent customer service to patient Patient, Pediatric, Representative, Customer Service, Service, Office Supervisor, Retail, Healthcare


  • East Providence, United States Randstad Full time

    Job DescriptionJob DescriptionAre you passionate about healthcare and providing exceptional patient service? Do you have experience in a medical office setting and a keen eye for detail? If so, we have the perfect opportunity for you! Join us, one of the leading healthcare providers, and become a part of a dedicated team committed to excellence in patient...

  • Patient Service Rep

    6 months ago


    Providence, United States Lifespan Health System Full time

    The Patient Service Representative reports to the Practice Manager. The Patient Service Representative oversees and verifies the financial processes associated with patient services provided in the Practice. The Patient Service Representative greets Patient, Patient Services, Service, Healthcare, Medical, Practice


  • Providence, Rhode Island, United States Access Healthcare Full time

    About the JobAccess Healthcare is seeking a skilled Interventional Radiology Technologist to join their team for a travel opportunity in Providence, Rhode Island.Job DescriptionThis role involves working as an Interventional Radiology Technologist, utilizing your expertise to provide high-quality patient care and imaging services.Key Responsibilities:Operate...

  • Critical Care Nurse

    3 weeks ago


    Providence, Rhode Island, United States Access Healthcare Full time

    About Access Healthcare">At Access Healthcare, we strive to provide unparalleled support to our nursing professionals through competitive pay packages and comprehensive benefits.">Job Summary:">We are seeking an experienced Critical Care Nurse to join our team in Providence, Rhode Island. This 13-week contract will involve working 36 hours per week on...


  • Providence, Rhode Island, United States Access Healthcare Full time

    Access Healthcare is a leading healthcare staffing agency that offers superior service to its nursing family by providing around-the-clock support, competitive pay packages, and an unmatched benefits package. We pride ourselves on our commitment to finding the right placement for each nurse, ensuring a true sense of community and family among our staff.About...


  • East Providence, United States Randstad Full time

    Randstad - [Retail Associate / Team Member] As a Service Representative at Randstad, you'll: Resolve customer questions, complaints, and requests via the telephone or e-mail; Demonstrate knowledge of the organization's products; Handle customer inquiries and provide accurate information; Resolve complaints and troubleshoot issues efficiently; Process orders...


  • Providence, Rhode Island, United States Access Healthcare Full time

    Travel Nursing Opportunity in North Providence, Rhode IslandWe are seeking a skilled and experienced Senior Emergency Department Nurse Specialist to join our team in North Providence, Rhode Island. This 13-week travel nursing assignment offers a unique opportunity to work with Access Healthcare, a leading agency dedicated to providing superior service to our...


  • Providence, Rhode Island, United States Access Healthcare Full time

    At Access Healthcare, we are committed to providing exceptional service to our nursing family. To achieve this goal, we are seeking a highly skilled travel Physical Therapist to join our team in Providence, Rhode Island.We offer a competitive pay package based on 8-hour shifts and 40 hours per week (subject to confirmation). This includes a tax-free stipend...