Patient Access Representative II - ER

Conifer Health Solutions•Rock Hill, SC

1d•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 complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after service. The representative provides customer service, completes registrations, explains and obtains required legal forms, handles protected health information, verifies insurance and medical necessity, and completes financial clearance and authorization activities. The role may also support diagnostic scheduling and coordinate post-discharge care. The position is based at Gold Hill ED, 995 Gold Hill Rd, Fort Mill, SC 29708. The regular schedule is Sunday through Tuesday, 7 p.m.–7 a.m., and Wednesday, 7 p.m.–1 a.m. Three to five weeks of Monday–Friday day-shift training is required before moving to this schedule. The employee must also be available to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED.
Zero to one year in a customer service role.
Minimum typing speed of 35 words per minute.
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 professional negotiation techniques to collect money owed by patients or guarantors.
Ability to 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.
Ability to meet the stated physical demands, with reasonable accommodations where applicable.

Nice To Haves

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

Responsibilities

Greet patients according to 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, including cash reconciliation and secure payment entry.
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 in the scheduling system and providing appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect payments before, during, and after the date of service.
Secure 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; and notify payors of inpatient visits.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Work effectively in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve issues raised by physicians’ offices and patients and build collaborative relationships with internal and external clients.