This Patient Access Representative II role is based at Dartmouth Hitchcock in Lebanon, New Hampshire — a leading academic medical center in the Upper Valley region. The position sits at the front line of the patient experience, handling registration, scheduling, insurance verification, and point-of-service collections across multiple service areas including the Emergency Department. It is a strong fit for a detail-oriented healthcare administrative professional who thrives in a fast-paced hospital environment and wants to build a career in healthcare revenue cycle operations.
Perks and Benefits
- Competitive benefits package commensurate with a major health system
- Health, dental, and vision insurance coverage
- Retirement plan options
- Access to career development resources and advancement pathways within a large, multi-region healthcare organization
- Vaccination and screening support provided as part of onboarding compliance process
- Reasonable accommodations available for qualified individuals with disabilities
Practice Highlights
- Full-scope patient access duties spanning scheduling, pre-admission, admission, registration, reception, and discharge functions
- Required proficiency in at least two Patient Access service areas, including the Emergency Department
- Completes full patient registration at date of service using scheduling and registration systems; scans and files Protected Health Information
- Secures and explains all required legal and consent forms: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA documentation
- 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; provides inpatient visit notification to payors
- Executes compliant point-of-service, pre-service, and post-service patient liability collections using proper negotiation techniques; performs hospital cash reconciliation and secured payment entry
- Assists with scheduling diagnostic procedures and coordinating post-discharge care as needed
- Interprets physician orders, medical terminology, and insurance cards in accordance with established standards of care
- Works collaboratively with internal clinical teams and external clients to ensure accuracy, productivity, and a high-quality patient experience
- Schedule flexibility required based on departmental and system demands
- Work environment includes patient care locations with potential exposure to high-acuity patient conditions and variable patient volumes
Qualifications
- High School Diploma or GED required; some college coursework preferred
- 0–1 year of customer service experience; healthcare 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 terminals, and printers
- Ability to interpret physician orders, medical terminology, and insurance documentation
- Understanding of third-party payor requirements and healthcare compliance standards preferred
- Ability to work across at least two Patient Access service areas, including the Emergency Department
- Must meet all required pre-employment vaccination and screening requirements, which may include COVID-19 and influenza vaccinations
About the Community
Lebanon, New Hampshire sits in the heart of the Upper Valley — a vibrant, educated community straddling the Connecticut River on the Vermont border, anchored by Dartmouth College and the broader Dartmouth Health system. The region offers an exceptional quality of life: four-season outdoor recreation including skiing, hiking, and river activities, highly regarded public schools, and a low cost of living relative to major New England metros. Boston and Burlington are both within comfortable driving distance, making Lebanon an appealing base for professionals who want access to a world-class medical institution without the pace or expense of a large city.