Insurance follow up representative vs patient access representative

The differences between insurance follow up representatives and patient access representatives can be seen in a few details. Each job has different responsibilities and duties. Additionally, a patient access representative has an average salary of $33,603, which is higher than the $33,022 average annual salary of an insurance follow up representative.

The top three skills for an insurance follow up representative include patients, customer service and medical billing. The most important skills for a patient access representative are patients, customer service, and medical terminology.

Insurance follow up representative vs patient access representative overview

	Insurance Follow Up Representative	Patient Access Representative
Yearly salary	$33,022	$33,603
Hourly rate	$15.88	$16.16
Growth rate	6%	-4%
Number of jobs	57,034	151,077
Job satisfaction	5	5
Most common degree	Associate Degree, 28%	Bachelor's Degree, 36%
Average age	46	40
Years of experience	-	4

What does an insurance follow up representative do?

Insurance Follow Up Representatives are responsible for processing and bringing claim resolution to outstanding medical insurance accounts for a healthcare organization. Their duties include managing status account updates, assessing the course of action for accounts, conducting outbound calls, handling incoming calls, and processing correspondences with relevant parties involved. They also perform reconciliation, issue escalation to team leaders, and ensure compliance with company policies and regulations.

What does a patient access representative do?

A Patient Access Representative is the first point of contact of a patient in a hospital facility. Among the duties include the checking-in and out of a patient, gathering a patient's information for the Doctors and Nurses to use, communicates with the patient's family or caregivers, and processes insurance billing. Most of the time, A Patient Access Representative encounters the critically ill or injured which is why one must possess great communication skills and compassion.

Insurance follow up representative vs patient access representative salary

Insurance follow up representatives and patient access representatives have different pay scales, as shown below.

	Insurance Follow Up Representative	Patient Access Representative
Average salary	$33,022	$33,603
Salary range	Between $26,000 And $41,000	Between $27,000 And $41,000
Highest paying City	-	Springfield, MA
Highest paying state	-	Massachusetts
Best paying company	-	University of California, Berkeley
Best paying industry	-	Health Care

Differences between insurance follow up representative and patient access representative education

There are a few differences between an insurance follow up representative and a patient access representative in terms of educational background:

	Insurance Follow Up Representative	Patient Access Representative
Most common degree	Associate Degree, 28%	Bachelor's Degree, 36%
Most common major	Health Care Administration	Business
Most common college	University of Pennsylvania	University of Pennsylvania

Insurance follow up representative vs patient access representative demographics

Here are the differences between insurance follow up representatives' and patient access representatives' demographics:

	Insurance Follow Up Representative	Patient Access Representative
Average age	46	40
Gender ratio	Male, 11.3% Female, 88.7%	Male, 14.5% Female, 85.5%
Race ratio	Black or African American, 9.2% Unknown, 3.6% Hispanic or Latino, 15.7% Asian, 4.8% White, 66.5% American Indian and Alaska Native, 0.1%	Black or African American, 12.5% Unknown, 5.1% Hispanic or Latino, 19.9% Asian, 6.5% White, 55.3% American Indian and Alaska Native, 0.7%
LGBT Percentage	7%	7%

Differences between insurance follow up representative and patient access representative duties and responsibilities

Insurance follow up representative example responsibilities.

Conduct analysis/research and lead dispute resolutions in appeals processes.
Cold-Cal to generate leads for individual life and disability insurance and annuities.
Network with various patient accounts financial officers of several medical centers and hospitals to certify uninsure patients for Medicaid.
Study ICD-9 and ICD-10 to gain further knowledge of the new changes coming within the coding.
Maintain all HIPPA rules, regulations and guidelines.
Apply all HIPPA rules and regulations to all accounts.

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Patient access representative example responsibilities.

Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPPA and clinic.
Conduct intensive screening of all Medicare, Medicaid and manage care patients for provider service eligibility.
Educate eligible applicants about Medicaid manage care and how to access benefits in a manage care environment.
Run internal reports to ensure ICD 9 and CPT procedure codes are accurate for billing for Medicare and Medicaid patients.
Deliver quality customer service and compassion while obtaining demographic and financial data from patients seeking emergency medical services.
Operate front desk check-in, preparation of charts, receive payments and balance books at the end of the day.

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Insurance follow up representative vs patient access representative skills

Common insurance follow up representative skills

Patients, 17%
Customer Service, 10%
Medical Billing, 7%
Patient Accounts, 7%
Phone Calls, 6%
Appeals, 6%

Common patient access representative skills

Patients, 20%
Customer Service, 13%
Medical Terminology, 9%
Patient Care, 5%
Patient Registration, 5%
Insurance Verification, 4%

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Zippia Careers
Sales Industry
Insurance Follow Up Representative
Insurance Follow Up Representative vs Patient Access Representative

Updated January 8, 2025

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