Patient Access Representative Career Path


Patient Access Representative Career Path

A Day in the Life with Patient Access Representative Shanbrielle Joseph

You will need to study for a few years before you can advance in your career as a patient access manager. Candidates who want to work for the company must have at least five years of experience under their belt. In some cases, patient access managers are required to complete supervised training for three years.

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 position. Remember, every employer is different and each will have unique qualifications when they hire for a Patient Access Representative role.

Job Summary

Our clinic is looking for a Patient Access Representative to join our team. In this role, you will obtain demographic and financial information from patients when they check in to our clinic. In addition to updating their information and processing copayments upon check-in, you will also assist with insurance authorizations and pre-certifications. This is an administrative role that requires customer service skills. Our ideal applicant has bilingual communication skills so they can help us serve a larger portion of our community.

Duties and Responsibilities

  • Greet and register patients, obtaining demographic and financial information
  • Process copayments
  • Assist with insurance authorizations and pre-certifications
  • Answer a high volume of patient phone calls and emails
  • Attach medical orders to patient charts
  • Generate patient letters
  • Assist with other administrative tasks as needed

Requirements and Qualifications

  • High school diploma or GED certificate
  • Associate degree

What Does A Patient Access Rep Ii Do

A patient account representative manages several tasks related to patient accounts for hospital and clinical facilities. Daily duties include processing claims, collecting payments, resolving problems, attending to inquiries regarding an account. Due to the nature of the job, patient account representatives have to interact with and manage patients on a regular basis.Although most companies accept a minimum of a high school diploma, most prefer an associate’s degree. Proven experience as a patient account representative is often required with a mandatory proficiency in computer software and technology. Strong candidates possess a strong understanding of calculations and medical terminology with exceptional analytical, verbal and written communication skills. The physical ability to sit in front of a computer screen for long hours at a time is required.

What responsibilities are common for Patient Access Rep II jobs?

  • Process and manage patient claims
  • Collect payments from patients for processing
  • Resolve any issues relating to the patient account
  • Answer any questions patients may have about their account
  • Assist patients with terms for repayment structures
  • Negotiate any overdue balance to recover payment from patients
  • Generate bills for patients including payment plan options
  • Explain insurance benefits to patients

What are the typical qualifications for Patient Access Rep II jobs?

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What Are Resume Samples

As the name implies, they are ideal examples of what resumes in different industries look like. For instance, they provide you with suitable resume structures and recommended details to include in your resume.Additionally, they also show you the most effective way to portray your skills and experience to your potential employer.With the aid of these samples, you can create your resume faster and boost your chances of getting the job that you crave.This is why we have gone all out to show you how you can use them to edge out your competition . You will also discover some key details about resumes.Read on!

Potential Job Titles And Careers


All positions listed point to a clear career path in the patient access field. In all cases, these roles work best for someone with high attention to detail and the ability to remain calm in high-stress situations. Additionally, patient access requires contact with lots of patients and staff, so empathy and a genuine ability to care for others is key.

Here are some of the roles within the patient access field:

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Patient Access Representative Job Duties

Patient access representatives have a wide range of responsibilities, which can include:

  • Communicating with physicians and other healthcare professionals to answer questions or resolve issues regarding claims processing
  • Assisting patients with insurance claims by providing information about claim status and assisting with appeals when necessary
  • Providing support to patients by answering questions regarding billing and insurance policies, claims status, and medical terminology
  • Reviewing and updating account information to ensure accuracy of member records
  • Maintaining up-to-date knowledge of insurance carrier rules and regulations
  • Providing customers with information about their insurance plan coverage, including deductible amounts and out-of-pocket expenses
  • Processing payments from insurance companies on behalf of medical providers
  • Coordinating with insurance companies to address claims denials and appeals
  • Receiving, processing, and responding to incoming calls from patients regarding appointment scheduling, patient questions about treatment options or insurance coverage, or other general inquiries about services provided by the clinic

Patient Access Representative Ii Job Description

A Patient Access Representative II is responsible for providing customer service to patients and visitors while facilitating the efficient flow of traffic through the facility. They perform a variety of duties related to the registration and pre-registration of patients, insurance verification, and scheduling of appointments. The Patient Access Representative II must be able to multitask and work well under pressure in a fast-paced environment. Excellent customer service skills and a strong attention to detail are essential for this position.

Ellis Medicine | Lensa has a job for a Patient Access Representative II in Schenectady. To prepare the account for billing, you must first verify the demographic and financial information of the patient. Assists with financial obligations while avoiding third-party payment sources. This page includes information on how to apply for Medicaid, as well as a list of documents that must be filled out. In this role, you will be responsible for collecting and processing patient payments as well as assisting in the collection of accurate patient billing information. Assists in ensuring that insurance plans are properly set up and properly appropriated. Ellis Medicine is a community-based health care center that provides access to health care facilities and expert doctors for the general welfare of the community.

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Patient Access Representative Work Environment

Patient access representatives typically work in hospitals, medical offices, or other healthcare facilities. They may work the usual nine-to-five schedule, or they may work evenings, weekends, or holidays to accommodate the needs of patients. They may also work overtime to meet deadlines or to cover for absent coworkers. Patient access representatives typically work in well-lit, clean, and quiet environments. They may be required to sit for long periods of time and to do repetitive tasks, such as data entry. They may also be required to stand for long periods of time and to lift and carry heavy objects, such as files or boxes of medical records.

Requirements For A Patient Access Representative

Patient Access Representative Jobs

Although many clinical employers may not require patient access representatives to have medical experience, many facilities prefer candidates to have some experience working in a clinical setting performing administrative tasks. However, patient access representatives may often need to meet specific educational and training requirements:

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Bachelors Degree In Patient Access Management

While experience is key, getting your foot in the door is a little easier when you’ve got a bachelor’s degree. A bachelors degree in health administration is a good place to start for many prospective candidates. This degree focuses on the business operations of medical facilities. Students learn to manage the human resources and finance aspects of medical facilities.

A bachelors in healthcare administration could function as a stepping stone to an entry-level job. You might start off in billing, administrations, hospital finance. Or, on the front lines as a patient access representative. This degree offers some flexibility in career paths. You’ll be able to start working in a hospital setting or for a private practice.

If youre looking to head straight into a relevant grad program, you dont necessarily need to have studied healthcare administration. Other relevant areas of study include human resources, nursing, business administration, and finance.

Certification Or Continuing Education

To become a patient access specialist, you dont necessarily need to be certified to find work, but employers may prefer some specialized training.

If you have an associate’s degree, you may want to consider earning the Registered Health Information Technician certificate. This designation is offered through the American Health Management Information Association .

The RHIT demonstrates an advanced knowledge of medical records keeping. Applicants will be tested on their ability to enter medical data into a computer system by measure of accuracy and completeness.

This certification must be renewed two years, and candidates must have completed 20 continuing education credits during that time. The average RHIT holder can expect to earn about $54k per yearmaking this an accessible way for associate degree holders to advance their career.

Again, while registration is your choice, continuing education is a differentiating factor for employees, as it allows them to keep track of new software, changing insurance rules, and the latest healthcare policies.

Certification isnt required for every position with patient access services. However, pursuing certification from the NAHAM can increase your odds of getting a pay bump or advancing into a more specialized role.

This organization offers the Certified Healthcare Access Manager exam. This designation demonstrates an advanced skill in the field of patient access services.

Qualifications include:

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A Day In The Life Of A Patient Access Representative

In a hospital, a patient access representative is the first point of contact for patients and their families. They are responsible for greeting patients and visitors, providing customer service, and answering questions. They also play a vital role in the hospitals registration process by verifying patient information and insurance coverage. In addition, patient access representatives may schedule appointments, transport patients, and perform other duties as needed.

According to the Bureau of Labor Statistics, job growth for patient access representative positions is expected to be at a rate of 2%. The average salary for a patient access representative is $33,603. Top representatives make an average of $13,000 more than the bottom-paid representatives. As of July 2016, 35.8% of patient access representatives had a bachelors degree. There is a chance that one out of every four people will skip college because they have extra money. Tenet Healthcare, Sanford Health, and UnitedHealth Group all hire a large number of patient access representatives. UC Berkeley, UC Merced, and Saint Xavier University have the highest salaries in the country.

Main Key Skills And Action Verbs For Patient Access Representative

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Your perfect CV has distinctive Healthcare skills and action verbs to highlight your career experience as a Patient Access Representative. Pay regard to the fact that they should perfectly match the employers requirements to have the best chance of getting the job. Here are the most preferred samples: chart pulling, regulatory compliance, financial consulting.

Key Skills & Proficiencies

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How Much Can Patient Access Representatives Earn

The earning potential for access representatives can vary between employers, locations and by work experience or level of education. According to Indeed’s salary data, related roles like patient services representative and patient access manager can reflect a similar earning potential as patient access representatives, ranging from , respectively. Additionally, many patient access representatives can increase their earning potential as they spend more time in their careers.

Why Im Perfect For The Patient Service Representative Position

When applying for a new job, it is critical to be upfront about your qualifications and experience. This is why I am applying to work as a patient service representative at I believe that if I am chosen as a patient service representative, I will excel because of my excellent customer service skills and my empathy for others. Im looking forward to the opportunity because Im sure I can contribute to an exciting, forward-thinking, and fast-moving organization/industry with my expertise. I believe that my abilities are particularly suited to this position because My ambition in this role and the company is to have the skills necessary to succeed.

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What Is A Patient Access Representative


The first person, an individual, will contact within a hospital facility is a patient access representative. The representative checks patients in and out of the hospital and gathers information for nurses and doctors to use. To be a patient access representative, you need to be a communicator because you will communicate with the patient’s caregiver, family and also process their insurance bills. Preparing schedules for PRR’s, overseeing the daily operation of the PRR, monitoring PSR registration proficiency and accuracy, and contacting insurance companies for billing operations are all part of your jurisdiction. To ensure accessible reports, you must maintain accurate patient information and respond to telephone inquiries. You will also be in charge of collecting balances from patients before their appointment and educating patients on payment and their arrangements. You must ensure that confidential information is reinforced and upheld as required by the clinic. The representative must understand insurance policies and must be knowledgeable in ICD-10. Communication skills, computer literacy, and customer service skills are all important skill requirements. You also need a bachelor’s degree in health care administration or related disciplines to qualify for the role. The annual salary of a patient access representative is $30,000.

What’s The Job Outlook For Patient Access Representatives

Patient Access Rep I at Sentara Healthcare

Patient access representatives and similar roles, like medical records and health information technicians, can expect an 8% increase in available jobs between 2019 and 2029 according to the . With the growth of available healthcare access both in-person and through digital appointments with doctors, nurses and other medical providers, patient access representatives can find many diverse career opportunities.

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How Do I Create My Own Resume With Resume Examples

If you want to prove to your potential employers that you are the perfect fit for a vacant position, you need to create a perfect resume or cover letter.However, there is good news. You don’t need to rack your brain to write a job-winning resume. All you have to do is visit a reliable online resume builder, follow a few simple steps, and best.These resume builders give you access to many ideal examples of industry-related resumes you can easily refer to when creating yours.Resume samples provide you with the perfect guide you need to craft a readable and relevant resume.Here is how you can use them to create your own resume:

  • Choose samples with resume formats suitable for a specific job or industry.
  • Observe how the names and contact information are included and follow suit
  • Include your resume objective or summary, following the pattern
  • Take a look at how the skills are highlighted and do the same
  • Get keywords from the sample and use them in your own resume
  • Mention your education using the structure in the example
  • Pay attention to the font style and use the same when creating your resume
  • Make sure you proofread your resume to confirm if it aligns with the sample you used

After doing this, you can rest assured that you have created a professional resume.

Sample Job Description For A Patient Access Representative

Use the following example job description for a patient access representative to get an idea of what employers may look for when looking for a job:

Belleview Regional Hospital is currently seeking a patient access representative to serve as the first point of contact for patients and their families upon arrival to our facility. Candidates must greet and assist patients in checking into the hospital front desk and guiding them through admissions. Responsibilities for this role include processing patient health and insurance information, preparing documentation for admissions and discharges and answering patient questions about the admission and discharge processes.

To be successful in this position, you must be able to perform clinical administrative tasks efficiently and maintain a professional and friendly attitude. Compassion and a commitment to helping people is also a must for the role of patient access representative.

Essential job responsibilities:

Job requirements:

  • High school diploma or GED

  • Experience in an office assistant, clerical or clinical administration role preferred

  • Associate’s degree in clinical administration or related field

  • Strong organizational and administrative skills

  • Excellent interpersonal and communication skills

  • Proficiency in word processing programs and data entry

  • Ability to take on multiple tasks and maintain attention to detail

  • Ability to work in a fast-paced hospital environment

How to apply:

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Patient Access Representative Hourly Pay

Patient access representatives typically earn hourly wages. The median hourly wage for this occupation was $15.72 in May 2019, which means that half of all workers earned less than this amount and half earned more. The lowest 10 percent of workers earned less than $9.57, and the highest 10 percent earned more than $24.63.

The average annual salary ranges from $21,500 to $35,933. There are outliers in the pay range of below this. A job in the United States costs an average of $1,792 and employs an average of $2,0001. The average weekly wage in the United States is $691, with the national average being $4,083 per hour. Those earning more than this are considered more highly compensated. The average hourly wage for Patient Access Representatives in the United States is between $14.90 and $18.25. According to PayScale, Chicago, IL ranks first among 50 states in terms of highest Patient Access Representative salaries.

In second and third places, respectively, are Bridgehampton, NY and San Mateo, CA. Atkinson, NE is the highest-ranking city, while Bridgehampton, NY and San Mateo, CA are close behind. The state of Californias San Mateo, CA, beats the national average by $8,347 , and the state of Nebraskas Atkinson, NE, also beats the national average by $15,963 . It is possible that low cost of living could impact the salary and location of a job as a Patient Access Representative.

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