<p>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.</p>
<h3>Perks and Benefits</h3> <ul> <li>Competitive benefits package commensurate with a major health system</li> <li>Health, dental, and vision insurance coverage</li> <li>Retirement plan options</li> <li>Access to career development resources and advancement pathways within a large, multi-region healthcare organization</li> <li>Vaccination and screening support provided as part of onboarding compliance process</li> <li>Reasonable accommodations available for qualified individuals with disabilities</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Full-scope patient access duties spanning scheduling, pre-admission, admission, registration, reception, and discharge functions</li> <li>Required proficiency in at least two Patient Access service areas, including the Emergency Department</li> <li>Completes full patient registration at date of service using scheduling and registration systems; scans and files Protected Health Information</li> <li>Secures and explains all required legal and consent forms: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA documentation</li> <li>Performs insurance verification, benefits and eligibility checks, and obtains prior authorizations for both scheduled and unscheduled hospital services</li> <li>Conducts medical necessity checks and verifications in accordance with CMS requirements; provides inpatient visit notification to payors</li> <li>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</li> <li>Assists with scheduling diagnostic procedures and coordinating post-discharge care as needed</li> <li>Interprets physician orders, medical terminology, and insurance cards in accordance with established standards of care</li> <li>Works collaboratively with internal clinical teams and external clients to ensure accuracy, productivity, and a high-quality patient experience</li> <li>Schedule flexibility required based on departmental and system demands</li> <li>Work environment includes patient care locations with potential exposure to high-acuity patient conditions and variable patient volumes</li> </ul>
<h3>Qualifications</h3> <ul> <li>High School Diploma or GED required; some college coursework preferred</li> <li>0–1 year of customer service experience; healthcare administrative experience in a medical facility, health insurance, or related setting preferred</li> <li>Minimum typing speed of 35 words per minute</li> <li>Demonstrated working knowledge of PC, CRT terminals, and printers</li> <li>Ability to interpret physician orders, medical terminology, and insurance documentation</li> <li>Understanding of third-party payor requirements and healthcare compliance standards preferred</li> <li>Ability to work across at least two Patient Access service areas, including the Emergency Department</li> <li>Must meet all required pre-employment vaccination and screening requirements, which may include COVID-19 and influenza vaccinations</li> </ul>
<h3>About the Community</h3> <p>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.</p>