Cheshire Medical Center in Keene, NH is seeking a Patient Access Representative II to serve as a front-line liaison between patients and the hospital's registration, scheduling, and financial clearance operations. This role spans multiple Patient Access service areas — including the Emergency Department — and is central to ensuring accurate patient intake, insurance verification, and compliant liability collection across the full continuum of care. The position suits a detail-oriented professional who thrives in a fast-paced hospital environment and takes pride in delivering high-quality patient-facing service.
Perks and Benefits
- Competitive benefits package commensurate with a regional acute care hospital system
- Health, dental, and vision insurance coverage
- Retirement plan options
- Scheduling flexibility based on departmental and system demands
- Vaccination and screening support provided prior to start of employment
- Equal opportunity employer with E-Verify participation; reasonable accommodations available for qualified individuals with disabilities
Practice Highlights
- Full-cycle patient access responsibilities: scheduling, pre-admission, admission, registration, reception, and discharge
- Cross-trained and deployed in at least two Patient Access service areas, including the Emergency Department
- Completes comprehensive patient registration at date of service, including securing all required legal and consent forms (Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, EMTALA)
- Performs insurance verification, benefits and eligibility checks, and obtains prior authorizations for both scheduled and unscheduled hospital services
- Conducts medical necessity checks and verifications in accordance with CMS requirements; secures inpatient visit notifications to payors
- Manages patient financial liability education and employs compliant collection techniques before, during, and after date of service
- Performs hospital cash reconciliation and secured payment entry per financial and cash control policies
- Assists with scheduling diagnostic procedures and coordinating post-discharge care as needed
- Scans and manages Protected Health Information; creates and maintains patient information packets and folders for upcoming services
- Works within a hospital administration environment with potential exposure to high patient volumes and acute care settings
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 field preferred
- Minimum typing speed of 35 words per minute
- Demonstrated proficiency with PC, CRT, and printer operations
- Ability to interpret physician orders, medical terminology, and insurance cards accurately
- Working knowledge of third-party payor requirements and healthcare compliance standards preferred
- Ability to perform essential duties across at least two Patient Access service areas, including the Emergency Department
- Strong oral and written communication skills; ability to build collaborative relationships with internal and external stakeholders
- Proficient use of negotiation techniques for professional patient/guarantor collections
- Physical requirements include extended computer terminal use, occasional lifting up to 25 lbs, prolonged standing and walking, and occasional wheelchair assistance for patients
About the Community
Keene is a vibrant small city in the Monadnock Region of southwestern New Hampshire, anchored by a walkable downtown, a strong arts and culture scene, and immediate access to four-season outdoor recreation including hiking, skiing, and lake activities. The region offers an excellent quality of life with low crime, highly regarded public schools, and a cost of living well below that of Boston — which is approximately 90 miles to the east — making it an attractive destination for professionals seeking a close-knit community without sacrificing access to a major metropolitan area.