Patient Access Representative II

Conifer Health Solutions•Fort Mill, SC

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency at Piedmont Medical Center through patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains accurate patient demographic information and uses compliant techniques to explain and collect patient financial liabilities before, during, and after the date of service. The representative provides customer service in accordance with Conifer Standards of Care, completes patient registration, handles required hospital and patient forms, scans protected health information, and prepares patient information packets. The position may also support scheduling diagnostic procedures and coordinating post-discharge care. Financial responsibilities include educating patients about their liabilities, reconciling hospital cash, entering secured payments, checking medical necessity, verifying insurance coverage and eligibility, completing financial-clearance work lists, obtaining authorizations, and notifying payors of inpatient visits. The role requires work in at least two Patient Access service areas, including the Emergency Department. The employee must be available to work hours and days as needed based on departmental and system demands. The work is in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions. Candidates, as applicable and permitted by law, must provide confirmation of required vaccinations and screenings before employment starts.

Requirements

High school diploma or GED required.
0–1 year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of PCs, CRTs, and printers.
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, appropriate negotiation techniques to collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of required vaccinations and screenings before employment starts, as applicable and 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 a 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 and obtain 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 scheduling systems, and providing appointment instructions, 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 secure payment entry in accordance with financial and cash-control policies and procedures.
Obtain 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 notification to payors.
Assist with scheduling and coordinating post-discharge care, as needed.
Work 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 following Conifer Standards of Care.
Resolve physician-office and patient issues.
Work hours and days as needed based on departmental and system demands.