Patient Access Representative

Patient Access Representative

Location: The Miriam Hospital – 164 Summit Ave, Providence, RI 02906

Pay Range: $17.77 – $29.31

Work Type: Part-time

Work Shift: Day

Daily

Hours:

4 hours

Driving

Required:

No

Seniority Level: Entry Level

• Greets and directs all patients, families and visitors in a prompt and courteous manner.
• Interviews patients or patient’s representative to obtain complete and accurate third‑party health insurance and related personal/financial information.
• Follows up on missing data by interviewing patients, families or calling employers, nursing homes and other facilities.
• Completes registration and enters all data obtained into hospital computer system, ensuring proper data collection for billing.
• Prepares or completes manual records as required, verifies demographic and insurance information, records primary and secondary insurer, and completes lien forms when a liability exists.
• Utilizes online tools and telephone to verify coverage, determine benefit level, and confirm that the primary care physician matches the PCP recorded in the system.
• Identifies primary and secondary insurer, properly records insurance information, and contacts the Financial Counselor/Pre‑Registration Office when coverage changes or missing information is needed.
• Determines self‑pay balances, obtains co‑payments and collects payments per department policy, documenting collections in the system.
• Explains consent, financial and insurance forms to patients or designee, obtains signatures on required forms, and generates patient registration record, plate and copies.
• Communicates with service departments to obtain order information, coordinates with the Financial Counselor/Pre‑Registration Office for authorization, and ensures all documentation is completed and clear.
• Handles Advance Directives, explains and signs ABN as required, and refers patients to Patient Financial Advocates for applications and payment plans.
• Notifies physicians’ offices of patient arrival to the Emergency Department or admission to the hospital per department policy and upgrades observation to inpatient accounts when appropriate.
• Pre‑admits, schedules, and registers scheduled outpatients and inpatients, verifies demographics, verifies insurance coverage, and ensures referrals and PCP accuracy.
• Monitors bed tracking, coordinates bed control, and provides bed status updates to nursing units.
• Protects and preserves patients’ right to privacy and confidentiality, utilizing department equipment and performing other related duties required to support the department operations.

• High school diploma or equivalent.
• Knowledge of medical terminology, third‑party insurance information and standard office computer applications.
• Typing and data entry skills required.
• Six to twelve months previous third‑party billing or hospital registration experience preferred.
• Typing and data entry skills and PC experience required.
• Knowledge of third‑party payer, verification, and authorization process preferred.

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.