Patient Access Representative I

Medical University of South Carolina • Columbia, SC

4d

About The Position

Processes patient preadmission and admission demographic and insurance data; enters information in the hospital computer system; maintains quality control for each preadmission and admission to insure accuracy of information; acts as liaison between patients, financial counselors and hospital patient accounting; insures that all state, federal and MUSC policies and procedures are followed. Functions in the Patient Admissions Department.

Requirements

• High school diploma with 1 year experience in customer service, health care or a business related field.
• Ability to interpret and apply financial procedures and regulations preferred.

Nice To Haves

• Previous experience with hospital information systems or word processing preferred.

Responsibilities

• Assist Patient Access Representative I staff, providing guidance on registration procedures, insurance verification, and customer service best practices.
• Serve as a subject matter expert in patient access workflows, policies, and procedures, assisting staff with complex registration issues, insurance inquiries, and patient concerns.
• Coordinate patient flow and scheduling, ensuring efficient and accurate registration, appointment scheduling, and check-in processes.
• Handle escalated patient inquiries, complaints, or issues, resolving conflicts, and providing solutions to enhance patient satisfaction.
• Collaborate with clinical departments, nurses, and physicians to address patient care needs, scheduling conflicts, and improve patient access processes.
• Conduct quality assurance audits, reviewing patient registration data, insurance information, and documentation for accuracy and compliance with regulatory standards.
• Assist with training new staff members, developing training materials, and conducting ongoing education sessions on patient access policies and procedures.
• Monitor key performance indicators (KPIs) related to patient access metrics, such as registration accuracy, wait times, and patient satisfaction scores.
• Participate in departmental meetings, committees, and initiatives to improve operational efficiency, enhance patient experience, and achieve organizational goals.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED