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How much do patient access associate jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for patient access associate in Hawaii is $20.15, according to ZipRecruiter salary data. Most workers in this role earn between $17.98 and $22.74 per hour, depending on experience, location, and employer.

What is a patient access associate?

Patient Access Associates are healthcare professionals responsible for managing the initial point of contact for patients entering a medical facility. They handle patient registration, verify insurance information, collect payments, and schedule appointments. Their role ensures that patients are accurately and efficiently processed, which is critical for both patient care and the healthcare facility's operations. Strong communication and organizational skills are essential for this position.

What does a patient access associate do?

A patient access associate, also known as a patient access representative, is responsible for checking in patients as they come to a doctor’s office, hospital, nursing home, or other medical facility. They typically do not provide any form of medical care. As a patient access associate, you are usually the first person a patient sees when they enter the office or building. Your primary job duties consist of tracking patient visitors, providing billing information to patients, and gathering patient information. You enter this patient information into a computer system so that doctors and nurses can begin the medical examination and treatment process. The qualifications for a career as a patient access associate include communication and computer skills, and most employers prefer candidates with a year of experience working in a medical office or hospital.

What are the key skills and qualifications needed to thrive as a patient access associate, and why are they important?

To thrive as a Patient Access Associate, you need strong organizational skills, attention to detail, and a high school diploma or equivalent, with some employers preferring experience in healthcare administration. Familiarity with hospital information systems, electronic health records (EHR), and insurance verification tools is typically required. Excellent customer service, communication, and problem-solving abilities help you effectively assist patients and coordinate with medical staff. These skills are vital to ensure accurate patient intake, smooth administrative processes, and a positive experience for patients entering the healthcare system.

What are some typical challenges a patient access associate might face during busy periods, and how can they effectively handle them?

During peak times, Patient Access Associates often manage high patient volumes, tight schedules, and urgent requests, which can be stressful. Successfully navigating these challenges requires strong organizational skills, the ability to prioritize tasks quickly, and clear communication with both patients and clinical staff. Utilizing electronic health record systems efficiently and remaining calm under pressure are key to ensuring patients are registered accurately and promptly. Teamwork and a patient-focused attitude also help maintain a positive environment, even during the busiest shifts.

What is the difference between Patient Access Associate vs Medical Secretary?

AspectPatient Access AssociateMedical Secretary
CredentialsHigh school diploma; some roles may require certification in healthcare accessHigh school diploma; medical office administration certification often preferred
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, clinics, hospitals
Primary ResponsibilitiesPatient registration, insurance verification, appointment schedulingScheduling, correspondence, record management
Industry UsageCommonly used in healthcare settings for front desk rolesCommon in medical offices for administrative support

The Patient Access Associate and Medical Secretary roles both serve vital administrative functions in healthcare. While the Patient Access Associate primarily handles patient registration and insurance tasks, the Medical Secretary focuses more on scheduling and correspondence. Both roles require strong communication skills and familiarity with healthcare environments, making them closely related but distinct positions within medical facilities.

Is being a patient access associate a stressful job?

Patient Access Associates often work in fast-paced healthcare environments, managing patient check-ins, scheduling, and insurance verification. The job can be stressful during busy periods or when handling difficult patients, but strong organizational skills and attention to detail help manage workload and reduce stress levels.

Is patient access a good career?

A Patient Access Associate plays a key role in healthcare by managing patient registration, insurance verification, and appointment scheduling. It offers opportunities for entry-level employment, customer service skill development, and can lead to advancement within healthcare administration. The job typically requires strong communication skills and attention to detail, with some positions offering certification options to enhance career prospects.
More about Patient Access Associate jobs

What are the most commonly searched types of Patient Access jobs in Hawaii?

The most popular types of Patient Access jobs in Hawaii are:

What cities in Hawaii are hiring for Patient Access Associate jobs?

Cities in Hawaii with the most Patient Access Associate job openings:

Patient Access Associate jobs near you
Infographic showing various Patient Access Associate job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 24% Part Time, and 7% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $41,913 per year, or $20.2 per hour.

Patient Access Representative I

HHSC East Hawaii Region

Hilo, HI

$51K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago

Job description

Job Description

Join Hilo Benioff Medical Center and be part of a team that proudly cares for our friends, family, and neighbors across East Hawaiʻi. 

Job Description

Patient Access Representative | Hilo Benioff Medical Center Admitting Department

A Day in the Life of a Patient Access Representative
Patient Registration

  • Collect and accurately document patient demographic and insurance information in the EMR system, adhering to policies and regulatory requirements.
    • Obtain required signatures on all pertinent forms and ensure patient identity verification.
    • Discuss payment methods, collect deposits, and issue receipts.

Insurance Verification

  • Verify insurance eligibility and benefits, including coordination of benefits, copayments, coinsurance, and deductibles.
    • Conduct pre-certifications when required and update patient records for billing accuracy.

Payment Processing

  • Collect patient responsibility payments and generate estimates for scheduled services.
    • Work closely with the billing department to resolve financial or collection issues.
       

Inpatient Services

  • Process doctor orders to ensure accurate service entries, coordinate bed assignments, and manage patient transfers or discharges.
    • Update the hospital census database to reflect changes in patient status.

Switchboard Operations

  • Answer incoming calls and direct them appropriately.
    • Activate emergency communication protocols and facilitate on-call notifications.
    • Use the overhead paging system to communicate critical information.

Administrative Support

  • Proficiently use Microsoft Office (Word, Excel, Outlook, PowerPoint).
    • Operate standard office equipment such as printers and fax machines.
    • Adapt to changing priorities and support various operational needs.

Start your new career with the Big Island's largest healthcare provider
This is a terrific position that provides employees with strong experience in the health care industry, and we are seeking candidates who are passionate about helping others and available to work a variety of shifts (including evenings and weekends) in this busy department. 

Grow with us
We are currently recruiting Patient Access Representatives. The department offers on-the-job training and career advancement opportunities for motivated candidates!

About Hilo Benioff Medical Center
Hilo Benioff Medical Center is a nationally recognized “top-performing” hospital that’s part of the East Hawaii Region of Hawaii Health Systems Corporation. To learn more about our organization, view our recent Video Yearbook

Required Qualifications: To qualify, you must meet all of the following requirements.  Please note that unless specifically indicated, the required education and experiences may not be gained concurrently.  In addition, qualifying work experience is credited based on a 40-hour workweek.

Education: High school diploma or equivalent.

Experience:

Candidates who do not meet the above requirements for experience are eligible for casual hire (non-benefitted) Patient Access Representative I positions.

  • General experience: 2 years of general experience required for all levels (Educational Substitution for General Experience: bachelor’s or associate degree)
  • Additional specialized experience required for the II-IV levels, in addition to the general experience listed above. This experience must include performing hospital admission activities (interviewing patients, securing signatures, arranging method of payments for costs not covered by insurance, preparing admitting records)
Company Description

As the Big Island’s leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Benioff Medical Center, Honoka'a Hospital, Ka′u Hospital, Yukio Okutsu State Veterans Home, East Hawaii Medical Group and East Hawaii Health Pharmacy, delivers a full range of services and programs. Our three hospitals include 290 beds and more than 1,900 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Benioff Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Honoka'a Hospital and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hbmc.org, www.honokaahospital.org or www.kauhospital.org.

Benefits
  • 13 paid holidays each year (104 hours); 14 (112 hours) during election years*
  • 21 paid vacation days (168 hours) per year*
  • 21 paid sick days (168 hours) per year*
  • Medical, dental, vision, and prescription plans
  • Employee Assistance Program
  • Participation in the State of Hawaii’s retirement system
  • Potential eligibility for various student loan repayment & scholarship programs

* Rates listed for paid holidays, vacation and sick days are for 1.0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE.

Pre-Employment Health Requirements

Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen.  The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.

Pre-Employment Assessments for External Candidates

As part of the recruiting process for this position, external applicants (job applicants NOT employed by HHSC’s East Hawaii Region) are required to complete pre-employment assessments shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request. 

Equal Opportunity Employer

The East Hawaii Region of Hawaii Health Systems Corporation is a drug free workplace and an Equal Opportunity Employer.

Shift Details

Must be available to work shifts, weekends and holidays as necessary based on hospital operations. Services are provided 24/7.