Patient Access Representative

Lifepoint Health • Gallatin, TN

13h

About The Position

Highpoint Health – Sumner with Ascension Saint Thomas is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Being a part of our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
A Patient Access Representative who excels in this role:
Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions.
Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.
Distributes and explains forms, documents, and educational handouts to patients or family members.
Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.
Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
Maintains current knowledge of all rules and regulations governing third party admissions/registrations and pre-certification requirements
Verifies insurance eligibility and creates estimates based on services rendered, including co-pays, deductibles and out-of-pocket amounts.
Verifies precertification/authorization on file matches test/procedure/services being performed.
Maintains an acceptable registration error rate & collections goal.
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage — with medical plans starting at just $10 per pay period — tailored benefit options for part-time and PRN employees, and more.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.

Requirements

• Applicants should have a high school diploma or the equivalent.
• Two years of experience in hospital patient access/registration or medical office with emphasis on medical insurance and collections/accounts receivable is required.
• Appropriate level of other hospital clerical or relevant customer service experience given consideration in lieu of.
• BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) is required within 90 days of hire, if not current upon hire.
• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.
• Must be able to function appropriately in a multi-task setting.
• General understanding of medical terminology and medical insurance.

Nice To Haves

• Two years of college or medical office specialist education is preferred.

Responsibilities

• Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions.
• Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.
• Distributes and explains forms, documents, and educational handouts to patients or family members.
• Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.
• Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
• Maintains current knowledge of all rules and regulations governing third party admissions/registrations and pre-certification requirements
• Verifies insurance eligibility and creates estimates based on services rendered, including co-pays, deductibles and out-of-pocket amounts.
• Verifies precertification/authorization on file matches test/procedure/services being performed.
• Maintains an acceptable registration error rate & collections goal.

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage — with medical plans starting at just $10 per pay period — tailored benefit options for part-time and PRN employees, and more.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED