This Patient Access Representative II role is a front-line, patient-facing administrative position based in Lebanon, NH, supporting hospital registration, scheduling, and financial clearance operations across multiple service areas including the Emergency Department. The position sits at the intersection of patient experience and revenue cycle integrity, requiring both strong customer service instincts and working knowledge of insurance verification, medical necessity, and compliance standards. Lebanon is a small city in the Upper Connecticut River Valley, offering an accessible, community-oriented work environment within a hospital setting.
Perks and Benefits
- Competitive benefits package included with employment
- Healthcare industry resources and professional development support
- Vaccination and screening requirements fulfilled prior to start date (COVID-19, influenza, and any future required screenings)
- Reasonable accommodations provided for qualified individuals with disabilities
- Participation in E-Verify employment eligibility program
- Schedule flexibility based on departmental and system demands
Practice Highlights
- Performs full patient registration at date of service, including demographic data collection, insurance verification, and legal form execution (Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, EMTALA)
- Conducts insurance benefits verification, coverage and eligibility checks, and obtains prior authorizations for both scheduled and unscheduled hospital services
- Performs medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services (CMS) requirements
- Executes patient liability collection before, during, and after date of service using compliant negotiation techniques; manages hospital cash reconciliation and secured payment entry
- Scans and manages Protected Health Information (PHI); creates and files patient information packets for upcoming services
- Assists with scheduling diagnostic procedures, including data entry into scheduling systems and providing appointment instructions to patients
- Coordinates post-discharge care planning and communicates inpatient visit notifications to payors
- Must be proficient in at least two Patient Access service areas, including the Emergency Department
- Works within a hospital administration environment with potential exposure to high patient volumes and acute care settings
- Interprets physician orders, medical terminology, and insurance cards in accordance with established standards of care
- Builds collaborative relationships with internal clinical staff and external clients to support communication, productivity, and accuracy
Qualifications
- High School Diploma or GED required; some college coursework preferred
- 0–1 year of customer service experience required
- 0–1 year of administrative experience in a medical facility, health insurance environment, or related field preferred
- Minimum typing speed of 35 words per minute
- Demonstrated proficiency with PC, CRT terminal, and printer operation
- Working knowledge of hospital environment functions and departmental relationships preferred
- Familiarity with third-party payor requirements and healthcare compliance standards preferred
- Ability to interpret physician orders, medical terminology, and insurance documentation
- Physical ability to sit at a computer terminal for extended periods, stand and walk frequently, lift or carry items up to 25 lbs occasionally, and assist patients with mobility using a wheelchair as needed
- Availability to work variable hours and days based on departmental and system demands
About the Community
Lebanon, New Hampshire sits in the Upper Connecticut River Valley along the Vermont border, anchored by the Dartmouth-Hitchcock medical corridor and the academic presence of Dartmouth College just minutes away in Hanover. The region offers a high quality of life with four-season outdoor recreation — skiing, hiking, and river activities are all within easy reach — alongside well-regarded public schools, a low-density lifestyle, and a tight-knit professional community. Boston is approximately two hours south, providing access to a major metro while allowing residents to enjoy the pace and affordability of northern New England.