Patient Access Representative II - Outpatient

Conifer Health Solutions•Hardeeville, SC

5d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through patient scheduling, registration, pre-admission and admission, reception, and discharge activities. The role obtains complete and accurate patient demographic information and uses proper, compliant techniques to collect patient liabilities before, during, and after the date of service. Responsibilities include greeting patients and providing customer service; completing registrations; explaining and securing hospital and patient legal forms; scanning protected health information; and creating and filing patient information packets for upcoming hospital services. The representative may assist with scheduling diagnostic procedures and coordinating post-discharge care. The position also educates patients about financial liabilities, performs cash reconciliation and secure payment entry, verifies medical necessity and insurance coverage, completes financial clearance work lists, obtains authorizations, and secures inpatient visit notifications to payors. The representative must be able to perform essential duties in at least two Patient Access service areas, including the Emergency Department. The role is based at Novant Coastal Carolina Medical Center and is scheduled Monday through Friday, 5:00 a.m. to 2:30 p.m., with availability required for hours and days as departmental or system demands require.

Requirements

High school diploma or GED.
Zero to one year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of a PC, CRT, and printer.
Customer service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Ability to use professional negotiation techniques to collect money owed by patients or guarantors.
Must be able to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Must be able to interpret physician orders, medical terminology, and insurance cards.
Must meet applicable vaccination and screening requirements and provide confirmation before starting employment, as permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
Zero to one year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain accurate patient demographic information.
Adhere to financial and cash control policies and procedures.
Explain and secure hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Important Message from Medicare, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
Assist with scheduling diagnostic procedures, entering information in the scheduling system, and providing appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect patient payments before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration financial clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.