CrawlJobs Logo

Patient Access Representative III

americannursingcare.com Logo

American Nursing Care

Location Icon

Location:
United States , Houston

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

20.46 - 28.90 USD / Hour

Job Description:

As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines.Every day you will interact with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations.To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high-quality patient intake experience.

Job Responsibility:

  • Obtains detailed patient insurance benefit information
  • Discusses benefits and other financial issues with patients and/or family members during initial evaluation
  • Advises patients on insurance and billing issues and options
  • Serves as a resource for patients and their family members on financial matters
  • Coordinates all necessary payer authorizations
  • Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting
  • Assists patients and their families with questions concerning insurance and other financial issues

Requirements:

  • High School Diploma/GED
  • Two (2) years of related experience
  • Extended knowledge of HMO’s, PPO’s, Commercial/Governmental payers and System/Entity specific hospital contracts with Third Party payers
  • Extended knowledge of HIPPA and EMTALA

Nice to have:

  • Scheduling and Oncology experience
  • Knowledge of Epic systems and use of decision trees
What we offer:

medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Additional Information:

Job Posted:
February 05, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Patient Access Representative III

Patient Access Representative III

Baptist Health is currently hiring for a Patient Access Rep III to join our Pati...
Location
Location
United States , Jacksonville
Salary
Salary:
Not provided
baptistjax.com Logo
Baptist Health (Florida)
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma/GED
  • 1-2 years Customer Service Experience
  • 1-2 years Insurance Experience
  • 1-2 years Healthcare Experience
  • Certified Healthcare Access Associate (CHAA) Preferred
  • Bachelor's Degree Preferred
Job Responsibility
Job Responsibility
  • Registering patients accurately and efficiently
  • Utilizing multiple systems and interfaces
  • Cross-Training to work in multiple patient access areas
  • Maintaining service excellence to patients and visitors for face-to-face and telephonic encounters
  • Contributing to PAS Goals as defined annually
  • Possessing a strong understanding of State and Federal regulations including EMTALA, AHCA, and JCAHO
  • Maintaining a professional relationship with all clinical and non-clinical team members
  • Being able to articulate compliance documentation and ensure completion of required patient consent forms
  • Maintaining patient privacy in accordance with HIPAA guidelines
  • On Call Team during week-long rotations
  • Parttime
Read More
Arrow Right

Outpatient Access Representative III

Coordinates activities of Outpatient Access employees. Acts as a resource to sta...
Location
Location
United States of America , Rochester
Salary
Salary:
18.71 - 25.27 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School diploma and 2 years' experience in an administrative capacity or customer service field required
  • Medical terminology experience required
  • Demonstrated customer relations skills preferred
Job Responsibility
Job Responsibility
  • Coordinates activities of Outpatient Access employees
  • Acts as a resource to staff performing those functions in a clinic setting
  • Monitors and ensures that all functions are completed in an accurate, efficient, and customer friendly manner
  • Coordinates all staff training activities
  • Assists clinic leadership through various aspects of operational support
  • Performs duties of Outpatient Access as required by departmental needs
  • Sets the standard for customer service, accuracy, and efficiency in the Outpatient Access work areas
  • May take on one or more specialized functions, as assigned, including Human Resources, Prior Authorizations, Referral Coordinator, or Direct Provider Support
  • Identifies, implements and monitors operational changes to improve clinic functioning
  • Updates and creates new policies and procedures
  • Fulltime
Read More
Arrow Right

Outpatient Access Representative III

Coordinates activities of Outpatient Access employees. Acts as a resource to sta...
Location
Location
United States of America , Rochester
Salary
Salary:
19.08 - 25.77 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School diploma and 2 years' experience in an administrative capacity or customer service field required
  • Medical terminology experience required
  • Demonstrated customer relations skills preferred
Job Responsibility
Job Responsibility
  • Coordinates activities of Outpatient Access employees
  • Acts as a resource to staff performing functions in a clinic setting
  • Monitors and ensures all functions are completed accurately, efficiently, and in a customer friendly manner
  • Coordinates all staff training activities
  • Assists clinic leadership through various aspects of operational support
  • May assist with lead duties such as personnel related matters, including performance evaluations
  • May be the front office eRecord superuser
  • Assist with workflow design and implementation
  • Serve as the front office expert supporting referral coordination, prior authorizations
  • Be assigned as main provider support
  • Fulltime
Read More
Arrow Right

Pharmacy Access Representative III - Specialty Pharmacy

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
21.71 - 29.31 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required
  • Capable of working independently with minimum supervision required
  • Strong communication skills, problem-solving abilities, and professional presentation required
  • Demonstrated customer relations skills required
  • Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
  • Completed ASHP-accredited training program or equivalent experience as a pharmacy technician preferred
  • Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements preferred
Job Responsibility
Job Responsibility
  • Manages medication coordination and removal of barriers that prevent patients from receiving their medications
  • Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization
  • Helps enroll patients in financial assistance programs and arrange timely delivery of the medication
  • Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
  • Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
  • Analyzes patients that are receiving high-cost medications for potential participation in PAPs
  • Coordinates with the patient and/or family to obtain necessary information
  • Enrolls patients in PAPs
  • Submits all required documentation to the PAP throughout the duration of treatment
  • Understands and manages the payment process specific to each PAP
  • Fulltime
Read More
Arrow Right

Pharmacy Access Representative III

Manages medication coordination and removal of barriers that prevent patients fr...
Location
Location
United States of America , Rochester
Salary
Salary:
21.71 - 29.31 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree in a Medical, Secretarial or related field and 4 years of relevant experience required
  • Or equivalent combination of education and experience
  • Capable of working independently with minimum supervision required
  • Strong communication skills, problem-solving abilities, and professional presentation required
  • Demonstrated customer relations skills required
  • Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
  • Completed ASHP-accredited training program or equivalent experience as a pharmacy technician upon hire preferred
  • Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements upon hire preferred
Job Responsibility
Job Responsibility
  • Manages medication coordination and removal of barriers that prevent patients from receiving their medications
  • Communicates with the prescriber's office to acquire necessary information to submit prescriptions to the patient's insurance for approval including prior authorization, and helps enroll patients in financial assistance programs and arrange timely delivery of the medication
  • Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
  • Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
  • Analyzes patients that are receiving high-cost medications for potential participation in PAPs, and identifies the best options for the patient given their overall circumstances
  • Coordinates with the patient and/or family to obtain necessary information, including income information and other personal details, as well as to present PAP options to the patient/family when there are multiple options
  • Enrolls patients in PAPs using the needed permission and information, follows up to determine the status of the application, and ensures proper documentation of this process
  • Submits all required documentation to the PAP throughout the duration of treatment to verify that payment for each prescription refill is still active
  • Understands and manages the payment process specific to each PAP, and ensures that payments are properly accounted for the correct patient and correct patient encounter
  • Meets or discusses with the patient and/or family the status of PAP eligibility on an as-needed basis if coverage changes during treatment duration
  • Fulltime
Read More
Arrow Right

Physician Support Rep III

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
19.62 - 26.49 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma required
  • Minimum of 2 years of relevant experience required
  • or an equivalent combination of education and experience
  • Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred
  • Demonstrated customer relations skills
Job Responsibility
Job Responsibility
  • Performs complex secretarial and administrative duties, in a fast-paced environment with minimal direction and considerable latitude for independent judgment in support of the Pulmonary Clinic
  • Serves as primary contact for providers, manages calendar when applicable, manages providers clinic schedule based on provider templates and preferences for the Pulmonary Procedure Team
  • Reviews the clinical schedules on a continuous basis to identify for optimizing the time and effort of the providers
  • Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations
  • Researches patient medical record for information requested by physicians, insurance companies and attorneys
  • Edits and completes incoming form requests for provider signature
  • Manages and edits provider procedure calendars
  • Receives incoming patient telephone calls for attending (s), fellow (s) and nurse practitioner(s) via eRecord or Access Center transfer call, managing and/or resolving various scheduling/coordination issues and answering questions as needed
  • Reviews electronic chart work queues, in baskets and pools for continual management and triaging
  • Schedules outgoing referral requests, which are time sensitive
  • Fulltime
Read More
Arrow Right
New

Pharmacy Technician

Location
Location
United States , Reading
Salary
Salary:
17.00 - 27.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
July 13, 2026
Flip Icon
Requirements
Requirements
  • Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
  • If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
  • If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
  • Regular and predictable attendance, including nights and weekends
  • Ability to complete required training within designated timeframe
  • Attention and Focus: Ability to concentrate on a task over a period of time
  • Ability to pivot quickly from one task to another to meet patient and business needs
  • Ability to confirm prescription information and label accuracy, ensuring patient safety
  • Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner
  • Notice and understand patients’ reactions, and respond appropriately
Job Responsibility
Job Responsibility
  • Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
  • Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
  • Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
  • keeping patients healthy by offering immunizations and other services at the register and over the phone
  • and demonstrating compassionate care by solving or escalating patient problems
  • Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
  • Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
  • actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
  • Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
  • voluntarily traveling to stores in the market to work shifts as needed by the business
What we offer
What we offer
  • dental
  • vision
  • wellness resources
  • employee discounts
  • access to certain voluntary benefits
  • other programs
  • Parttime
Read More
Arrow Right
New

Receptionist

We are the business traveler’s favorite, the locals’ living room and tourism’s a...
Location
Location
Greenland , Nuuk
Salary
Salary:
Not provided
nordjobb.org Logo
Nordjobb
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school education or similar
  • Good with languages (English is required, Danish and Greenlandic are a real advantage as well as any other language)
  • Previously worked in a hotel (advantage)
What we offer
What we offer
  • Room to rent for 2,750 DKK all included per month
Read More
Arrow Right