This Patient Access Representative II role is based at Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, New Hampshire — a major academic medical center serving as the region's primary referral destination. 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. Candidates who thrive in high-volume, fast-paced hospital environments and bring strong customer service instincts will find this role both substantive and varied.
Perks and Benefits
- Competitive benefits package commensurate with a large regional health system
- Flexible scheduling based on departmental and system needs
- Opportunity to work across multiple Patient Access service areas, building broad hospital operations experience
- Part of a national healthcare revenue cycle organization with operations in more than 135 local regions — strong internal career mobility
- Reasonable accommodations provided for qualified individuals with disabilities
- Vaccination and health screening support provided prior to start of employment
Practice Highlights
- Full-scope patient access duties spanning scheduling, pre-admission, admission, registration, reception, and discharge functions
- Greets and registers patients at date of service in accordance with established Standards of Care; secures all required legal and consent documentation including Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA forms
- 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 Centers for Medicare & Medicaid Services (CMS) requirements
- Educates patients on financial liabilities and employs compliant point-of-service collection techniques before, during, and after the date of service; performs 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 and coordinating post-discharge care as needed
- Must be proficient in at least two Patient Access service areas, including the Emergency Department
- Interprets physician orders, medical terminology, and insurance cards in a fast-paced hospital administration environment
- Works collaboratively with internal departments and external clients (physician offices, payors) to ensure accurate, efficient patient throughput
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 working knowledge of PC, CRT terminal, and printer operation
- Familiarity with third-party payor requirements and healthcare compliance standards preferred
- Knowledge of hospital environment functions and departmental relationships preferred
- Ability to interpret physician orders and medical terminology while maintaining patient care standards
- Must be available to work variable hours and days based on departmental and system demands
- Ability to occasionally lift or carry items up to 25 lbs and assist patients with mobility using a wheelchair
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 crime rate, and a strong sense of community anchored by Dartmouth College and DHMC itself. The area offers easy access to skiing, hiking, and lake recreation, with Boston and Burlington both reachable within two hours. Cost of living is moderate relative to other major academic medical center markets in the Northeast, and the local school systems are consistently well-regarded — making Lebanon a compelling destination for professionals seeking quality of life alongside meaningful work.