This full-time Patient Access Representative II (Dayshift) role is based in Lebanon, New Hampshire, supporting front-end revenue cycle operations at a hospital campus affiliated with a national healthcare network serving more than 135 regional markets. The position sits at the intersection of patient experience and financial clearance — handling registration, insurance verification, authorization, and point-of-service collections across multiple service areas including the Emergency Department. For a detail-oriented professional who thrives in a fast-paced clinical environment and wants to build a healthcare administration career, this is a substantive, multi-function role with real scope.
Perks and Benefits
- Competitive benefits package as part of a large, nationally integrated health system
- Career development resources and leadership pathways within a broad regional network
- Stable hospital-based employment with defined standards of care and operational support
- Reasonable accommodations provided for qualified individuals with disabilities
- Schedule flexibility based on departmental and system demands — dayshift designation
- E-Verify participating employer; vaccination and screening confirmation required prior to start (including COVID-19 and influenza)
Practice Highlights
- Full patient registration at date of service: demographic capture, legal form execution (Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, EMTALA), and PHI scanning
- Insurance verification, benefits and eligibility confirmation, and authorization procurement for both scheduled and unscheduled hospital services
- Medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services (CMS) standards
- Point-of-service and post-service patient liability collection using compliant negotiation techniques; hospital cash reconciliation and secured payment entry per financial control policies
- Inpatient visit notification to payors and coordination of post-discharge care as needed
- Scheduling support for diagnostic procedures: data entry in scheduling system, patient appointment instruction, and related tasks
- Required proficiency in at least two Patient Access service areas, including the Emergency Department
- Collaborative relationship management with internal clinical teams and external clients (physician offices, insurers, patients/guarantors)
- Interpretation of physician orders, medical terminology, and insurance documentation within a high-volume hospital administration environment
- Potential exposure to life-threatening patient conditions in care locations; occasional wheelchair assistance for patients with mobility needs
Qualifications
- High School Diploma or GED required; some college coursework preferred
- 0–1 year of customer service experience; 0–1 year of administrative experience in a medical facility, health insurance, or related setting preferred
- Minimum typing speed of 35 words per minute
- Demonstrated working knowledge of PC, CRT terminal, and printer operation
- Ability to interpret physician orders, medical terminology, and insurance cards
- Understanding of third-party payor requirements and healthcare compliance standards preferred
- Ability to work in a fast-paced environment with high patient volumes and varied patient interactions
- Strong oral and written communication skills; ability to receive and convey detailed information accurately
- Physical requirements: extended periods of sitting at a computer terminal, frequent standing and walking, occasional lifting/carrying up to 25 lbs, occasional wheelchair assistance
About the Community
Lebanon, New Hampshire sits in the Upper Connecticut River Valley along the Vermont border — a region defined by four-season outdoor recreation, a low cost of living relative to other New England markets, and a strong sense of community anchored by Dartmouth College and Dartmouth Health nearby. The area offers easy access to skiing, hiking, and lake recreation, along with well-regarded public schools and a walkable downtown. For clinicians and healthcare professionals seeking a quieter, nature-forward lifestyle within reach of Boston and Burlington, Lebanon delivers an exceptional quality of life.