Access Management Representative | Patient Registration Specialist at MLee Healthcare Staffing and Recruiting

Position Overview

This role involves interviewing patients or their representatives to gather essential personal, financial, and demographic information. You will prepare patient records, input data into computer systems, verify insurance coverage, and ensure all required forms are completed and signed. Collecting co-payments, deductibles, and other payments accurately is a key responsibility, along with balancing daily payment sheets and routing patient demographics to relevant departments. A strong commitment to excellence and adherence to departmental standards is essential.

Key Responsibilities

• Maintain a safe and clean work environment, following unit-based safety and infection control protocols.
• Exhibit excellent interpersonal skills when interacting with coworkers, staff, patients, physicians, and the public.
• Conduct thorough patient interviews and enter complete information into the system, ensuring all signatures, insurance details, and financial data are accurate to protect financial reimbursement.
• Perform special duties as assigned to support departmental needs.
• Assume cashiering duties during after-hours and weekends as required.
• Verify insurance eligibility and benefits promptly, obtaining necessary pre-authorizations from third-party payers according to their requirements.
• Confirm medical necessity in line with Centers for Medicare & Medicaid Services (CMS) standards and communicate relevant coverage information to patients.
• Notify patients of any deposits or deductibles required prior to registration and provide cost estimates upon request.
• Ensure patients are prepared for routine registration procedures, escorting them to appropriate service areas and addressing their questions and concerns.

Qualifications

• Minimum of one year of computer data entry experience.
• At least one year of customer service experience working with patients or customers.
• Preferred: One year of healthcare insurance verification experience.
• Preferred: Knowledge of medical terminology.

Education

• High school diploma or GED required.

All new hires must successfully complete a physical evaluation, urine drug screen, and pre-employment background checks prior to starting work.

This position is located in a regional healthcare setting within the Pacific Southwest region of the United States, serving diverse coastal communities.