Patient Access Representative – Notification of Admission

About the Role

Day-to-day responsibilities will include reviewing admission reports, submitting notifications, and collaborating with various teams to ensure seamless operations. As a remote position, the ability to work independently and maintain productivity is essential. Reporting structure and team context will be provided during the onboarding process.

What You Will Do

• Review daily inpatient and observation admission reports to identify accounts requiring payer notification
• Submit 'Notification of Admission' requests to commercial, Medicare Advantage, Medicaid Managed Care, and other third-party payers
• Verify coverage, eligibility, and account information prior to submission
• Document confirmation numbers, reference numbers, payer responses, and related communications in designated systems
• Monitor pending notifications, follow up on outstanding requests, and resolve issues within required timelines
• Collaborate with Utilization Review, Case Management, and other operational teams to obtain supporting clinical or account information
• Maintain current working knowledge of payer-specific notification requirements and client workflows
• Identify trends contributing to notification delays, defects, or denials and communicate improvement opportunities to leadership
• Support quality assurance reviews, reporting activities, training reinforcement, and continuous performance improvement initiatives

What We Are Looking For

• High School Diploma or GED, or 3 years of relevant equivalent experience
• 1+ years of experience in healthcare revenue cycle, patient access, insurance verification, or related healthcare operations
• Working knowledge of commercial, Medicare, and Medicaid payer requirements
• Professional experience documenting payer interactions and account activities clearly and concisely
• Proficiency with Microsoft Office applications, including Excel and Outlook
• Ability to work in a fast-paced environment with multiple priorities and deadlines
• Strong communication and interpersonal skills

Nice to Have

• Experience performing Notification of Admission, prior authorization, utilization management support, or payer notification activities
• Experience working in hospital electronic medical record systems, including Epic and/or Meditech
• Knowledge of denial prevention, payer escalation, notification compliance, and standard work discipline
• Associate degree or higher in Healthcare Administration, Business Administration, or a related field

Benefits and Perks

• Competitive salary
• Opportunity to work in a 100% remote environment
• Comprehensive benefits package, including health, dental, and vision insurance
• 401(k) plan with company match
• Paid time off and holidays
• Professional development and training opportunities
• Recognition and reward programs for outstanding performance
• Flexible work schedule to accommodate different time zones and work styles
• Access to cutting-edge technology and tools to support your work

• Tip: Highlight your experience with Excel and other Microsoft Office applications, as proficiency is required for this role.
• To stand out, emphasize your understanding of healthcare revenue cycle operations and payer notification requirements.
• Be prepared to discuss your experience working in a remote environment and how you maintain productivity independently.
• When negotiating salary, consider factors such as your years of experience, relevant skills, and industry standards.
• Red flag: Be cautious of companies that do not provide clear information about their remote work policies, benefits, or expectations.