The Associate Patient Access Representative (APAR) is the first contact for visitors, handling customer service, patient registration, and financial clearance. This role includes check-ins, scheduling, payment collection, insurance verification, and compliance management. The APAR ensures smooth workflows and adherence to guidelines, preparing patients administratively and financially for their visits.
Requirements
- Registration/Admissions: Proficient in all types of registrations (i.e., inpatient, outpatient, and emergency admits)
- Utilizes EPIC work queue to pre-register scheduled patients
- Verifies medical necessity in accordance with the Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage and eligibility information to the patient
- Accurately identifies and enters patient demographics, insurance, and financial information including inpatient and outpatient benefits
- Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services
- Confirms the completeness of the electronic health record (EHR) and makes necessary changes
Responsibilities
- Completes Admissions, Discharges, and Transfers in a timely manner when applicable
- Ability to monitor and perform all patient hospital and/or ambulatory movement
- Utilizes EPIC work queue to pre-register scheduled patients
- Verifies medical necessity in accordance with the Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage and eligibility information to the patient
- Accurately identifies and enters patient demographics, insurance, and financial information including inpatient and outpatient benefits
- Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services
- Confirms the completeness of the electronic health record (EHR) and makes necessary changes
Other
- High School Diploma or GED High School diploma or GED equivalent (Required)
- 1+ years: Experience in healthcare office setting and/or work history with strong customer service background (Preferred)
- Work from home but onsite trainings and meetings.
- Must be able to work as early as 7:00am for meetings, trainings, and as business needs dictate.
