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Brown University Health

Patient Access Representative

Brown University Health, Providence, Rhode Island, us, 02912

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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

Responsibilities

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.

Qualifications

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.

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

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