Patient Access Representative II

Conifer Health Solutions•Rock Hill, SC

4d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through scheduling, registration, patient pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The position is based at Piedmont Medical Center and lists shifts on Monday, Tuesday, and Saturday from 7 a.m. to 7 p.m., and Thursday from 1 p.m. to 7 p.m. The representative welcomes patients and provides customer service consistent with Conifer Standards of Care, completes patient registration, handles legal and hospital forms, and scans and organizes protected health information. The role also supports financial clearance, insurance verification and authorization, medical necessity checks, payment processing, and cash reconciliation. Depending on departmental needs, duties may include scheduling diagnostic procedures and coordinating post-discharge care. The representative must be able to perform essential duties in at least two Patient Access service areas, including the Emergency Department. The role involves working in a hospital administration setting and may include patient-care locations where there is potential exposure to life-threatening patient conditions. Employees must be available to work hours and days as needed based on departmental and system demands. Required vaccinations and screenings, as applicable and permitted by law, must be confirmed before employment begins.

Requirements

High school diploma or GED required.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of 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 perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to professionally collect money owed by patients or guarantors using appropriate negotiation techniques.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
Must be available to work hours and days as needed based on departmental and system demands.

Nice To Haves

Knowledge of the functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
0–1 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.
Follow financial and cash control policies and procedures; explain patient financial liabilities and use compliant collection techniques before, during, and after service.
Explain and obtain required hospital and patient legal forms, such as 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.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash control policies.
Secure medical necessity checks or verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; 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, 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.
Resolve issues from physician offices and patients.