Patient Access Representative Job Description

A patient access representative (PAR) is an individual who helps patients or prospective patients obtain healthcare services that are offered at a hospital or other facility.

The responsibilities of a patient access representative range from asking general questions to providing direct patient care.

The employment of PARs is increasingly common at private hospitals, where the need for patient access representatives is greatest, but it is also a rapidly growing field in public hospitals.

In private hospitals, the PAR is often the first person to interact with a patient.

PARs answer phones, handle walk-in traffic, and provide information to patients.

They typically work the front desk at hospitals and

Job Brief:

We’re looking for Patient Access Representatives to join our team! The Patient Access Representative is responsible for providing outstanding customer service to patients and their families. This includes greeting patients and visitors, answering phone calls, scheduling appointments, and providing information about our services. If you have a passion for providing excellent customer service and are interested in joining our team, please submit your application today!

Patient Access Representative Duties:

• Obtains and verifies the appropriate patient medical records (clinical, financial, billing, and insurance), to include patient demographics, insurance, and billing and insurance information (pre-authorizations, authorizations, referrals, and eligibility determinations)
• Guides patient through the registration process
• Coordinates and schedules patient appointments
• Provides information to patients about health insurance coverage and services, including explanation of benefits
• Inform patients of due dates for payment and links to payment portals
• Seems discrepancies in patient bill or insurance information
• Reviews patient’s bill for charges
• Makes payment arrangements
• Provides information and assistance to patients about payment due dates
• Confirms provider/provider group, specific services, and date of service
• Prepares referrals to providers, if needed

Patient Access Representative Responsibilities:

• Drive patient traffic, and process and follow up with all referrals
• Communicate with patients, family, and referring physicians regarding scheduling and insurance information
• Maintain and update service contracts
• Referral, authorization, and billing management
• Research and investigate patient eligibility and financial constraints
• Accounting
• Marketing
• Lead team to meet or exceed patient volumes
• Work collaboratively with ancillary groups
• Record, analyze, and report results

Requirements And Skills:

• Proven experience in a customer service, healthcare or other customer-facing role
• Strong medical terminology and computer skills
• Excellent communication skills, both written and verbal
• Strong attention to detail
• Ability to prioritize tasks and meet deadlines
• Ability to maintain strong confidentiality

“Company Name is an equal opportunity employer that is committed to building a diverse and inclusive team. We encourage applications from all races, religions, nationalities, genders, , , gender expressions, and ages.”