Patient Access

what is patient access representative

by Viva Schumm Published 2 years ago Updated 1 year ago
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What Is a Patient Access Representative? As a patient access representative, you handle the patient check-in process at a hospital. Your job duties are to collect patient information—identification, insurance, and payment—and to perform other administrative tasks, like answering the phone and scheduling.

A Patient Access Representative is a professional who assists patients with administrative needs to gain access to necessary medical treatments.

Full Answer

How do I become a patient access representative?

  • High school diploma or GED certificate
  • Associate degree (preferred)
  • Knowledge of medical terminology
  • Computer skills
  • Customer service skills
  • Bilingual communication skills (preferred)

What are the duties of a patient access rep?

Patient Access Representative Responsibilities:

  • Greeting patients and their caregivers on arrival.
  • Collecting information such as patient details, medical history, billing, and insurance information, etc.
  • Preparing patient admission and discharge documentation.
  • Entering information into databases and maintaining accurate records.
  • Relaying information to relevant staff members.

More items...

How much does a patient access rep make?

A Patient Access Representative in your area makes on average $31,202 per year, or $1,714 (5%) ...

What is the starting pay for patient access rep?

What is the Pay by Experience Level for Patient Access Representatives? An entry-level Patient Access Representative with less than 1 year experience can expect to earn an average total compensation (includes tips, bonus, and overtime pay) of $13.88 based on 155 salaries.

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Do patient Access reps wear scrubs?

Yes, patient service reps wear scrubs. Patient service representatives are usually the first people patients, and their families see when entering a medical facility or hospital.

What does patient access mean to you?

At its most basic, “patient access” is defined quite literally. It refers to the availability of healthcare, the ability of consumers to access care and treatment. Patient access is an integral part of the Affordable Care Act (ACA).

What is patient access occupations mean?

A Patient Access Representative is an administrative assistant who is responsible for overseeing the admittance and dismissal of patients and visitors from healthcare facilities. Their responsibilities include: Greeting patients and caregivers, assisting with checking in and checking out.

Why are patient access representative important?

Patient access representatives serve an essential role at health-care facilities as the first point of contact when a patient calls or walks into the office. They are usually responsible for answering the phone, scheduling appointments, billing, and submitting insurance claims.

What skills do you need to be a patient access representative?

Patient Access Representative Requirements: Strong administrative and organizational skills. Excellent communication and interpersonal skills. Proficiency in Microsoft Office and data entry systems. Ability to multitask and maintain strong attention to detail.

What are the process involved in patient access?

Patient Access ServicesSchedule Patients and obtain all patient details.Verify Insurance, and eligibility for services - determine copayment, Co-insurance and deductible levels.Determine prior authorization requirements.Register Patients- make demographic and insurance updates.

How much do patient Access reps make in Texas?

$30,651 a yearHow much does a Patient Access Representative make in Texas? As of Aug 6, 2022, the average annual pay for a Patient Access Representative in Texas is $30,651 a year. Just in case you need a simple salary calculator, that works out to be approximately $14.74 an hour.

What the role of a patient access center representative is and how they function within a call center environment?

Communicating important information with appropriate staff members. Answering patients' questions and providing guidance through concerns or issues. Preparing paperwork and documentation for patient discharge and providing guidance for follow-ups after discharge. Performing general administrative and office tasks.

What is patient Access Week?

Established in 1982, Patient Access Week is a celebration of the people in Patient Access profession. The date marks the anniversary of the founding of the National Association of Healthcare Access Management (NAHAM), the only national professional organization dedicated to promoting excellence within the field.

What is customer service representative job description?

Customer service representatives listen to customer concerns, answer customer questions and provide information about the company's products and services. In some cases, customer service representatives may also take orders and set up new customer accounts.

What is the difference between patient experience and patient satisfaction?

In brief, patient experience is associated with a patient's perception of care, while patient satisfaction is about the patient's expectations for care.

What Is a Patient Access Representative?

As a patient access representative, you handle the patient check-in process at a hospital. Your job duties are to collect patient information—ident...

How to Become a Patient Access Representative

To start a career as a patient access representative, you need a high school diploma. Other qualifications that make you a strong candidate for pat...

What Do Patient Access Representatives Wear?

As a patient access representative, you are one of the first people that patients and families see upon entering a hospital or medical facility. Th...

Patient Access Representative Job Description Sample

With this Patient Access Representative job description sample, you can get a good idea of what employers are looking for when hiring for this posi...

What is a patient access representative?

A Patient Access Representative is the first point of contact of a patient in a hospital facility. Among the duties include the checking-in and out of a patient, gathering a patient's information for the Doctors and Nurses to use, communicates with the patient's family or caregivers, and processes insurance billing. Most of the time, A Patient Access Representative encounters the critically ill or injured which is why one must possess great communication skillsand compassion.

What is the most important trait for a patient access representative?

Communication skills can be considered to be the most important personality trait for a patient access representative to have. According to a patient access representative resume, "customer service representatives must be able to provide clear information in writing, by phone, or in person.".

What percentage of patient access representatives are proficient in insurance companies, customer service, and medical records?

We calculated that 18 % of Patient Access Representatives are proficient in Insurance Companies, Customer Service, and Medical Records. They’re also known for soft skills such as Communication skills, Computer skills, and Customer-service skills.

How much does a patient service specialist make?

On average, patient service specialists earn a difference of $159 higher per year. While both patient access representatives and patient service specialists complete day-to-day tasks using similar skills like insurance companies, medical records, and patient care, the two careers also vary in other skills.

How much does a patient access representative make in 2028?

In fact, the number of patient access representative opportunities that are predicted to open up by 2028 is -51,600. Patient access representatives average about $14.61 an hour, which makes the patient access representative annual salary $30,392.

What are the orders that a doctor can enter?

Enter in Doctor's orders such as lab work, Radiology Imaging, and Cardiovascular Testing.

What is Frequent Communication with Physician Offices?

Frequent communication with physician offices for correct prescriptions and ordered procedures.

What Is a Patient Access Representative?

As a patient access representative, you handle the patient check-in process at a hospital. Your job duties are to collect patient information—identification, insurance, and payment—and to perform other administrative tasks, like answering the phone and scheduling.

How to Become a Patient Access Representative

To start a career as a patient access representative, you need a high school diploma. Other qualifications that make you a strong candidate for patient access representative jobs include experience working in health care service positions and having excellent customer service skills.

What Do Patient Access Representatives Wear?

As a patient access representative, you are one of the first people that patients and families see upon entering a hospital or medical facility. Therefore, you must have a professional appearance during your shift. Some employers require you to wear a uniform, while others simply have dress code guidelines for you to follow.

Sample job description

The Patient Access Representative provides high-level administrative support to the patient access team, including completion of patient medical insurance eligibility, processing benefits, and referral authorizations for patients.You will need tocomplete daily patient entry, intensive care unit (ICU) listing, or census verification activities to ensure proper patient identification by collecting, entering, and verifying data in order to remove duplicate registrations, verify insurance eligibility with third-party payers, coordinate benefits information for patients/families, and file claims on behalf of the patient with various public or private health insurance carriers.

Average salary and compensation

The average salary for a patient access representative is $35,000 in the United States. Position salary will vary based on experience, education, company size, industry, and market.

Typical work environment

Working as a patient access representative means you’ll be working in a medical office setting. The operating room is not considered an environment where this type of work may be performed, but you may work in a hospital, clinic, or regular office. They may also liaise with patients and other hospital departments.

Typical hours

Patient Access Representatives typically work regular office hours, from 9 a.m. to 5 p.m. during the week. However, some medical facilities with extended hours might require evening and weekend shifts.

Available certifications

Though it’s not required to receive certifications, securing one can help you stand out from the other applicants. The most popular certification is:

Career path

The first step to becoming a Patient Access Representative is to earn a high school diploma or equivalent. Solid communication and computer skills, along with the ability to type, are helpful. Employers also prefer candidates with some knowledge of health care, although they usually provide on-the-job training for their specific needs.

Position trends

Patient Access Representative is an entry-level position, and some people use it as a springboard to other jobs with more responsibility in the health-care industry. Candidates with computer and database skills will have the upper hand. The aging population means demand for health care workers should remain robust.

How much does a patient access representative make?

Patient access representatives in the United States make an average salary of $30,392 per year or $14.61 per hour. People on the lower end of that spectrum, the bottom 10% to be exact, make roughly $25,000 a year, while the top 10% makes $35,000. As most things go, location can be critical. Alaska, North Dakota, Connecticut, Wyoming, and Delaware provide the highest patient access representative salaries.

Which state has the highest salary for patient access representatives?

While Texas has a slightly lower than average salary for patient access representatives, California has the highest salaries with an average of $42,000 in total compensation.

What is a patient advocate?

A patient advocate is responsible for supporting the patients with the medical processes in a healthcare institution, assisting them with insurance claims and medical billing disputes, verifying treatment procedures, and conducting referrals to medical professionals based on the patient's needs. Patient advocates facilitate a payment plan for the patients, discussing this plan to the financial department of the facility. They also address the patients' inquiries and concerns, as well as their complaints with hospital operations, immediately raising these issues to higher management.

What is a patient registrar?

A patient registrar is responsible for receiving patients in a hospital or other health care institutions, verifying their information, and leading them to the appropriate facility for their health care needs. Patient registrars manage the hospital's database, updating patients' information, confirming insurance details, taking calls, responding to patients' inquiries and concerns, scheduling appointments, and performing related administrative and clerical tasks as needed. A patient registrar must have excellent communication and organizational skills to provide the best quality care services to the patients.

What is a patient liaison?

Patient Liaisons are intermediaries addressing concerns on behalf of patients and families working in tandem with the hospital administrator. They are responsible for gathering data regarding patient care issues and inquiries, assessing patient well-being, suggesting improvements, and interpreting hospital service, policies, and procedures to patients and families. Patient Liaisons also work to educate health care professionals in humanizing the hospital experience for patients. They work in a hospital, clinic, nursing home, or programs related to public health.

What is a patient coordinator?

A patient coordinator functions as the primary point of contact between health care professionals and patients in a medical facility. They mostly perform administrative tasks such as greeting visitors, answering calls, responding to inquiries, managing schedules, arranging appointments, processing payments, gathering information, and keeping records. Moreover, they assist in filling out forms, escorting patients to different rooms or offices, and setting treatment plans. Most importantly, they discuss and share necessary information with patients and families regarding medications, procedures, and proceeding care according to a physician's assessment.

Is patient access representative a good job?

Yes, being a patient access representative is a good job. This position can be ideal for people who want to work in healthcare but are not interested in doctors, nurses, or other health aides.

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