Patient Access Representative II

Conifer Health Solutions•Rock Hill, SC

1d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency at Piedmont Medical Center by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after service. It also supports financial clearance, insurance verification and authorization, patient communications, and coordination of care.

Requirements

High school diploma or GED.
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 duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use professional negotiation techniques to collect amounts owed by patients or guarantors.
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 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.
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 patient registration at the date of service and obtain complete and accurate demographic information.
Explain and secure required 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 into the scheduling system, and providing appointment instructions.
Educate patients about their financial liabilities and use proper, compliant techniques to collect payments before, during, and after service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control policies.
Complete medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; complete assigned financial-clearance work-list activities; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients.
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 involving physicians’ offices and patients.