Patient Access Representative – Patient Financial Assistance

• Complete the financial clearance process within Patient Access Services
• Create a positive first impression of WTH’s services for patients, families, and external customers
• Pre-register and register patients
• Verify insurance, benefits, eligibility, group and , and billing addresses
• Conduct financial screenings and refer accounts for financial counseling or eligibility assessments
• Inform families about government and financial assistance programs
• Coordinate referrals and obtain treatment authorizations
• Complete medical necessity checks and refer denied or failed cases to the designated area
• Maintain daily work queues and correspondence according to department guidelines
• Advise the next-level leader about possible postponements or deferrals of unapproved elective or non-emergent admissions
• Maintain accurate pre-processing files
• Investigate, resolve, and document patient problems
• Collaborate with medical staff, nursing, ancillary departments, insurance payers, and external sources

• High School Graduate, or equivalent
• 1-2 years of health care or related experience preferred
• Ability to complete pre-registration, registration, insurance verification, benefits verification, certification, referral management, patient liability collections, and medical necessity checks
• Ability to interview patients and guarantors to obtain financial assistance screening information
• Ability to verify eligibility and benefit levels
• Ability to coordinate referrals and obtain treatment authorizations
• Ability to communicate financial information clearly to patients, guarantors, and family members
• Licensure, registration, certification: N/A

Demonstrates expertise in patient registration, insurance verification, and financial clearance processes while effectively communicating financial information to patients and families. Proficient in coordinating referrals and obtaining treatment authorizations within healthcare settings.

• Patient Registration
• Insurance Verification
• Financial Clearance Process
• Referral Management
• Medical Necessity Checks

• Pre-Registration
• Registration
• Benefits Verification
• Certification
• Patient Liability Collections
• Financial Assistance Screening
• Eligibility Verification
• Treatment Authorization Coordination
• Medical Necessity Checks

• Clear Communication
• Problem Solving
• Collaboration

• Patient Access Services
• Healthcare
• Financial Counseling
• Government Assistance Programs