Patient Access Representative II - Emergency Room

Conifer Health Solutions•Hardeeville, SC

7d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing 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 the date of service. The position is based at Novant East Cooper Medical Center and has a 7 a.m.–7 p.m. rotating-day schedule, with availability required for hours and days as needed based on departmental or system demands. The representative greets patients, provides customer service, completes registrations, explains and secures required hospital and patient legal forms, and scans protected health information. The role also supports financial clearance, insurance verification and authorization, cash reconciliation, and payment entry. Depending on departmental needs, the representative may assist with diagnostic scheduling and coordinating post-discharge care. The role 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. Required vaccinations and screenings may need to be confirmed before employment begins, as applicable and permitted by law.

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 while maintaining Conifer Standards of Care.
Must meet applicable vaccination and screening requirements before employment starts, as permitted by law.

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 in accordance with Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain complete, accurate patient 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, 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, enter information in scheduling systems, 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 and procedures.
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; and secure inpatient visit notification to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve issues involving physicians’ offices and patients.