Patient Access Representative

Where You’ll Work

CHI Health St. Mary’s has served Nebraska City and the surrounding areas since 1927. In the fall of 2014, St. Mary’s opened the doors of a brand-new, fully modernized facility. The new 110,000-square-foot campus is better equipped to meet the changing needs of our community with, among other benefits, an increased capacity for specialty clinics and an integrated primary care clinic. St. Mary’s encourages collaboration and care coordination among primary care physicians and medical specialists. This contributes to the high quality of care our patients have come to expect.

Job Summary and Responsibilities

Performs patient registration and admitting functions across assigned hospital access areas, which may include Emergency Department, main registration, admitting, and other patient access points. Gathers, verifies, and updates demographic, insurance, and account information to ensure accurate and timely patient data capture in support of patient access workflows. Utilizes multiple systems to support registration, scheduling, documentation, and inquiry processes, and identifies discrepancies or issues, escalating non-standard or complex scenarios in accordance with established procedures. Supports daily patient access operations by assisting with workflow needs and contributing to timely completion of access activities during scheduled and high-volume periods. Collaborates with the healthcare team and engages with patients and families to support access-related needs and a positive patient experience. Demonstrates accountability for relationship-based care, organizational mission, and core values while maintaining compliance with organizational policies, privacy standards, and regulatory requirements.

• Perform patient registration functions across assigned access points, ensuring accurate demographic information, insurance eligibility and benefits verification, and complete, confidential documentation within the electronic health record.
• Accurately scan, index, and manage patient documentation to support registration, billing, and clinical workflows in accordance with organizational standards.
• Communicate patient financial responsibility using established education tools and scripts, including estimates and patient liabilities, and collect payments at the time of service as appropriate.
• Schedule, confirm, and revise patient appointments to support timely access to care and adherence to provider and clinic workflows.
• Identify and resolve routine registration, insurance, and encounter discrepancies; follow established workflows to escalate complex or non-standard issues.
• Provide patient-facing support via telephone and other approved communication channels, including answering inquiries, routing calls, and documenting interactions per standard procedures.

Job Requirements

Required

• High School Graduate , upon hire or
• High School GED, upon hire and
• 1 year relevant experience in healthcare, patient access setting is preferred, along with knowledge of the following: patient registration procedures and documentation, knowledge of health insurance payers, and real-time insurance eligibility verifications.