Patient Access Representative II

Conifer Health Solutions•Rock Hill, SC

5d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing patient scheduling, registration, 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 Gold Hill ED, 995 Gold Hill Rd, Fort Mill, SC 29708, with a scheduled shift of Sunday–Tuesday, 7 p.m.–7 a.m., and Wednesday, 7 p.m.–1 a.m. Employees must also be available to work hours and days as needed based on departmental or system demands. The representative greets patients and provides customer service, completes registrations, follows financial and cash-control procedures, explains and secures hospital and patient legal forms, and scans protected health information. The role may prepare patient information packets and assist with scheduling diagnostic procedures. It also educates patients about financial liabilities, reconciles cash and enters secured payments, verifies medical necessity and insurance coverage, completes financial-clearance work lists, obtains authorizations, and secures inpatient visit notifications to payors. The representative may also help coordinate post-discharge care. The position requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions. A competitive benefits package is mentioned, but specific benefits are not listed.

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 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 perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use proper negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

0–1 year of administrative experience in a medical facility, health insurance, or related area preferred.
Some college coursework preferred.
Knowledge of functions and relationships within a hospital environment preferred.
Understanding of third-party payor requirements preferred.
Understanding of compliance standards preferred.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain accurate demographic information.
Follow financial and cash-control policies and procedures.
Explain and secure hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Medicare notices, 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, enter scheduling information, provide appointment instructions, and complete related tasks as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control policies.
Check or verify medical necessity 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 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 communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve physician-office and patient issues.
Work hours and days as needed based on departmental or system demands.