Patient Access Representative

Company: Medix
Location: Kalamazoo
Posted on: February 18, 2026

Job Description:

Job Description Job Description About the Role: Seeking a detail-oriented Patient Access Representative . This position requires experience in accurately validating patient demographics, verifying insurance coverage, and securing necessary authorizations for medical procedures to ensure financial clearance. The ideal candidate will have a strong understanding of Cerner , VOB processes , and pre-certification coordination from start to finish. Type : Full Time Location : On-site in Kalamazoo, MI Shift : Monday - Friday 9:00AM - 5:30PM Pay : $16 - 19.33/hr Qualifications: Experience : 3 years in insurance verification, authorizations, or full-cycle patient access experience. Skills : 1 year of experience investigating insurance eligibility, reviewing out-of-pocket costs, and coordinating with physician offices for medical necessity. Recency : Experience needs to be at least within the last 2 years. Education : High school diploma or equivalent (Associate's degree in a related field is a plus). Technical Skills : Proficiency in medical billing/scheduling software ( Cerner , Pathways Healthcare Scheduling , Experian ), EHR systems, and Microsoft Excel. Knowledge : Strong understanding of ICD-10/CPT codes , EOBs , insurance networks (Medicare/Medicaid/Commercial), and the pre-certification process. Key Responsibilities: Verify and update patient demographic and insurance information to ensure accuracy in the Cerner database. Coordinate insurance verification and obtain detailed Verification of Benefits (VOB) , including co-pays, deductibles, and out-of-pocket maximums. Secure and document authorizations/pre-certifications for ancillary, surgical, and outpatient testing. Validate medical necessity using the Medical Necessity Checker and audit Medicare Secondary Payer (MSP) questionnaires. Collaborate with physician offices and scheduling teams to resolve incomplete authorizations and reschedule procedures as needed. Calculate and communicate patient financial responsibilities and refer patients to Financial Counselors when necessary. Maintain accurate worklists and provide professional communication in accordance with standards. For California Applicants: We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. Company Description Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine. Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us? Company Description Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Keywords: Medix, Grand Rapids , Patient Access Representative, Accounting, Auditing , Kalamazoo, Michigan