Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care.
Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about.
If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Job Summary

The Patient Representative is responsible for pre-registering patients, verifying insurance, collecting payments, and performing cash reconciliation to support accurate billing and a positive patient experience. This position also assists with departmental mail, financial reporting, and follow-up activities related to patient accounts.

Essential Functions

Pre-registers patients over the phone, verifies insurance benefits, and collects payments prior to service.
Reviews surgical authorizations for completeness and accuracy.
Accurately reconciles daily cash using system-generated reports and resolves variances.
Serves as cashier and processes payments as needed.
Monitors and updates patient accounts involving bankruptcies, refunds, and collections.
Sorts and distributes facility mail to appropriate departments.
Provides data for financial audits and responds to inquiries.
Ensures timely follow-up on outstanding insurance claims and patient balances.
Maintains a clean and organized work area, including sanitizing phones and desks.
Performs other duties as assigned.

Knowledge/Skills/Abilities/Expectations

Basic understanding of health insurance and patient access processes.
Accurate data entry and cash handling skills.
Strong communication and customer service abilities.
Ability to function in a fast-paced, high-pressure environment.
Proficient in Microsoft Office and patient registration systems.

Education

High School Diploma or equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role. (Preferred)

Licenses/Certifications

None required upon hire

Experience

Prior experience in patient registration, cash handling, or healthcare billing (Preferred)