Patient Access Representative-PerDiem-8110
Kingman Regional Medical Center, Kingman, AZ, United States
Position Overview
Position Title: Patient Access Representative
Position Code: PtAccessRp-____
Department: Patient Access
Reports to: Patient Access Manager
Position Purpose
All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. At the direction of management, completes the registration process for patients. This includes verification of benefits, discharge of patients, collection of copays or payments, balancing of accounts, and general data entry.
Key Responsibilities
Customer Service and Patient Satisfaction
Provides excellent customer service, contributes to the overall satisfaction of the patient experience, and adheres to the Behavioral Expectations Agreement.
Promptly fields and/or directs incoming calls; responds to patient and/or staff inquiries.
Refers patient accounts to financial counselors when further explanation/education is needed (denied authorizations, out-of-pocket liabilities, coverage options, payment plans, etc.).
Consistently demonstrates a willingness to assist co-workers to support department efficiency and to support positive customer feedback goals.
Participates in on‑going process improvement activities for the team.
Floats to other work areas as requested, and regularly works nights, weekends, holidays, and extended hours when needed.
Registration/Admitting/Discharge of Patients
Demonstrates ability to preregister, register, schedule, reschedule, and discharge patients according to the defined guidelines.
Enters new patient data and verifies that patient records are up to date, confirms the completeness of the EHR and makes changes as necessary.
Verifies insurance eligibility and benefits within a timeframe determined by KHI.
Obtains pre‑authorizations from third‑party payers in accordance with payer requirements, when needed.
Ensures identified information is complete and scanned into the patient’s EHR (insurance cards, photo ID, physician orders, and other admission documents).
Obtains signatures on all required forms.
Manages co‑payments, deductibles, allowances, etc. as instructed.
Patient Processing
Accurately balances daily cash, including completion of daily cash log, bank deposit slip, and daily reports to Patient Financial Services.
Accurately utilizes insurance eligibility/audit tools, reports/corrects variances within the EMR.
Maintains quality performance scores to meet defined goals.
Collects upfront co‑pays, deductible and coins, securing deposits on self‑pay and high accounts.
Regularly works nights, weekends, holidays, and extended hours when needed.
Lead PAR
Meets all PAR requirements.
Provides day‑to‑day leadership and supervision of PAR team members, trains and orients new hire PARs, and works with Supervisors to provide continuous training of existing staff.
Performs QA audits of registrations, works account checks, and responds to account denials.
Assists with scheduling of staff to ensure appropriate coverage.
Participates in interviews for hiring new staff within the unit, and provides feedback to the PAR supervisors for performance evaluations.
Identifies, supports, and manages process improvement initiatives for the team.
Collaborates with management to assist in day‑to‑day operations of the team.
Qualifications
Demonstrates ability to multitask, prioritize appropriately, and manage time efficiently.
Effective oral and interpersonal communication skills.
Proficient with a variety of technological resources (phone, computer hardware, software programs, fax, scanner).
Education
High School Diploma or equivalent.
Experience
PAR:
Minimum of 1 year of experience working in a customer service position and/or office setting.
Lead PAR:
Minimum of 1 year of registration or billing experience in a healthcare setting.
Certification
American Heart Association BLS.
Clearance
The following Departments/Clinics require a DPS Level 1 Fingerprint Clearance Card:
8050 Resident Clinic
6601 Joshua Tree Pediatrics
6616 Urgent Care
6600 Mountain Shadow Primary Care
6605 Golden Valley Medical Center
8110 Patient Access
6504 Physician Services Float Pool
Preferences
Previous experience in healthcare registration, scheduling, and/or authorizations.
Special Position Requirements
Exposure Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues.
Work Requirements
Able to reach above and below shoulder level, lift, bend, kneel, squat, stand, walk, and sit for the full scheduled shift.
Able to use telephone and computer software and hardware for most of the shift (90% of the day).
Acknowledgement
This job description applies to all KHI facilities and is representative of the essential job duties this position will perform. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
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Position Title: Patient Access Representative
Position Code: PtAccessRp-____
Department: Patient Access
Reports to: Patient Access Manager
Position Purpose
All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. At the direction of management, completes the registration process for patients. This includes verification of benefits, discharge of patients, collection of copays or payments, balancing of accounts, and general data entry.
Key Responsibilities
Customer Service and Patient Satisfaction
Provides excellent customer service, contributes to the overall satisfaction of the patient experience, and adheres to the Behavioral Expectations Agreement.
Promptly fields and/or directs incoming calls; responds to patient and/or staff inquiries.
Refers patient accounts to financial counselors when further explanation/education is needed (denied authorizations, out-of-pocket liabilities, coverage options, payment plans, etc.).
Consistently demonstrates a willingness to assist co-workers to support department efficiency and to support positive customer feedback goals.
Participates in on‑going process improvement activities for the team.
Floats to other work areas as requested, and regularly works nights, weekends, holidays, and extended hours when needed.
Registration/Admitting/Discharge of Patients
Demonstrates ability to preregister, register, schedule, reschedule, and discharge patients according to the defined guidelines.
Enters new patient data and verifies that patient records are up to date, confirms the completeness of the EHR and makes changes as necessary.
Verifies insurance eligibility and benefits within a timeframe determined by KHI.
Obtains pre‑authorizations from third‑party payers in accordance with payer requirements, when needed.
Ensures identified information is complete and scanned into the patient’s EHR (insurance cards, photo ID, physician orders, and other admission documents).
Obtains signatures on all required forms.
Manages co‑payments, deductibles, allowances, etc. as instructed.
Patient Processing
Accurately balances daily cash, including completion of daily cash log, bank deposit slip, and daily reports to Patient Financial Services.
Accurately utilizes insurance eligibility/audit tools, reports/corrects variances within the EMR.
Maintains quality performance scores to meet defined goals.
Collects upfront co‑pays, deductible and coins, securing deposits on self‑pay and high accounts.
Regularly works nights, weekends, holidays, and extended hours when needed.
Lead PAR
Meets all PAR requirements.
Provides day‑to‑day leadership and supervision of PAR team members, trains and orients new hire PARs, and works with Supervisors to provide continuous training of existing staff.
Performs QA audits of registrations, works account checks, and responds to account denials.
Assists with scheduling of staff to ensure appropriate coverage.
Participates in interviews for hiring new staff within the unit, and provides feedback to the PAR supervisors for performance evaluations.
Identifies, supports, and manages process improvement initiatives for the team.
Collaborates with management to assist in day‑to‑day operations of the team.
Qualifications
Demonstrates ability to multitask, prioritize appropriately, and manage time efficiently.
Effective oral and interpersonal communication skills.
Proficient with a variety of technological resources (phone, computer hardware, software programs, fax, scanner).
Education
High School Diploma or equivalent.
Experience
PAR:
Minimum of 1 year of experience working in a customer service position and/or office setting.
Lead PAR:
Minimum of 1 year of registration or billing experience in a healthcare setting.
Certification
American Heart Association BLS.
Clearance
The following Departments/Clinics require a DPS Level 1 Fingerprint Clearance Card:
8050 Resident Clinic
6601 Joshua Tree Pediatrics
6616 Urgent Care
6600 Mountain Shadow Primary Care
6605 Golden Valley Medical Center
8110 Patient Access
6504 Physician Services Float Pool
Preferences
Previous experience in healthcare registration, scheduling, and/or authorizations.
Special Position Requirements
Exposure Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues.
Work Requirements
Able to reach above and below shoulder level, lift, bend, kneel, squat, stand, walk, and sit for the full scheduled shift.
Able to use telephone and computer software and hardware for most of the shift (90% of the day).
Acknowledgement
This job description applies to all KHI facilities and is representative of the essential job duties this position will perform. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
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