Patient Access Representative
ScionHealth, Columbus, GA, United States
Patient Access Representative
Join St. FrancisEmory Healthcare, a 376-bed community-connected hospital in Columbus, GA, that blends cutting-edge care with hometown purpose. As part of the ScionHealth network, St. Francis has been recognized and awarded multiple high-performing honors by U.S. News & World Report, and received multiple disease-specific certifications from the Joint Commission, and was a rated Top Large Hospital in Georgia. St.Francis also delivers advanced heart, orthopedic, and women's care services. At St. Francis, you will experience a culture of excellence where your work directly shapes the health of our community.
The Clinic Patient Access Representative assists in coordinating patient access services including scheduling, registration, insurance verification, and pre-certification. This role supports efficient clinic operations by providing excellent customer service and ensuring that all financial, demographic, and authorization requirements are accurately completed before the patient's visit.
Essential Functions
Register and pre-register patients by collecting and verifying demographic and financial data
Address patient financial responsibilities including co-pays and co-insurance at the time of registration
Verify insurance coverage, ensure compliance with payer requirements, and obtain necessary prior authorizations or referrals
Maintain up-to-date knowledge of insurance payer guidelines
Respond to patient and customer inquiries professionally and in a timely manner
Manage daily appointment schedules, including placing reminder calls and contacting referred patients
Accurately collect and reconcile co-pays
Scan and upload documents, test results, and referral information into the electronic medical record (EMR)
Review patient charts prior to scheduled visits to confirm all required documentation is present
Prioritize tasks and complete assignments efficiently and accurately
Provide coverage and support to other front office roles as needed
Perform other duties as assigned
Knowledge/Skills/Abilities/Expectations
Strong attention to detail and ability to maintain accurate records
Excellent verbal and written communication skills
Ability to multitask and prioritize in a fast-paced clinic environment
Customer service-oriented with a professional and compassionate demeanor
Knowledge of healthcare billing and insurance terminology preferred
Proficiency in Microsoft Office applications (Word, Excel, Outlook)
Experience with EMR systems and scheduling software desirable
Knowledge of medical terminology and CPT/ICD coding
Familiarity with insurance processes and regulations
Frequent use of computer, phone, and other office equipment
Occasional walking, standing, and light lifting (up to 25 lbs)
Visual and auditory acuity required for data entry and patient communication
Ability to work in environments with exposure to communicable diseases, odors, and biohazards
Outpatient clinic setting
Interaction with patients, providers, and administrative staff
Fast-paced, patient-focused work environment requiring flexibility and accuracy
Qualifications
Education
High school diploma or GED
Licenses/Certifications
None Required
Experience
One (1) year of experience in a medical office or similar healthcare setting
One (1) year of customer service experience
Join St. FrancisEmory Healthcare, a 376-bed community-connected hospital in Columbus, GA, that blends cutting-edge care with hometown purpose. As part of the ScionHealth network, St. Francis has been recognized and awarded multiple high-performing honors by U.S. News & World Report, and received multiple disease-specific certifications from the Joint Commission, and was a rated Top Large Hospital in Georgia. St.Francis also delivers advanced heart, orthopedic, and women's care services. At St. Francis, you will experience a culture of excellence where your work directly shapes the health of our community.
The Clinic Patient Access Representative assists in coordinating patient access services including scheduling, registration, insurance verification, and pre-certification. This role supports efficient clinic operations by providing excellent customer service and ensuring that all financial, demographic, and authorization requirements are accurately completed before the patient's visit.
Essential Functions
Register and pre-register patients by collecting and verifying demographic and financial data
Address patient financial responsibilities including co-pays and co-insurance at the time of registration
Verify insurance coverage, ensure compliance with payer requirements, and obtain necessary prior authorizations or referrals
Maintain up-to-date knowledge of insurance payer guidelines
Respond to patient and customer inquiries professionally and in a timely manner
Manage daily appointment schedules, including placing reminder calls and contacting referred patients
Accurately collect and reconcile co-pays
Scan and upload documents, test results, and referral information into the electronic medical record (EMR)
Review patient charts prior to scheduled visits to confirm all required documentation is present
Prioritize tasks and complete assignments efficiently and accurately
Provide coverage and support to other front office roles as needed
Perform other duties as assigned
Knowledge/Skills/Abilities/Expectations
Strong attention to detail and ability to maintain accurate records
Excellent verbal and written communication skills
Ability to multitask and prioritize in a fast-paced clinic environment
Customer service-oriented with a professional and compassionate demeanor
Knowledge of healthcare billing and insurance terminology preferred
Proficiency in Microsoft Office applications (Word, Excel, Outlook)
Experience with EMR systems and scheduling software desirable
Knowledge of medical terminology and CPT/ICD coding
Familiarity with insurance processes and regulations
Frequent use of computer, phone, and other office equipment
Occasional walking, standing, and light lifting (up to 25 lbs)
Visual and auditory acuity required for data entry and patient communication
Ability to work in environments with exposure to communicable diseases, odors, and biohazards
Outpatient clinic setting
Interaction with patients, providers, and administrative staff
Fast-paced, patient-focused work environment requiring flexibility and accuracy
Qualifications
Education
High school diploma or GED
Licenses/Certifications
None Required
Experience
One (1) year of experience in a medical office or similar healthcare setting
One (1) year of customer service experience