Patient Access Representative II - Outpatient

Conifer Health Solutions•Hardeeville, SC

4d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency at Novant Coastal Carolina Medical Center by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate demographic information and uses compliant techniques to collect patient liabilities before, during, and after service. The representative provides customer service, completes registrations, handles required patient forms and protected health information, and may assist with scheduling diagnostic procedures and coordinating post-discharge care. The position also supports financial clearance through medical-necessity checks, insurance and eligibility verification, authorization and payor notification, payment entry, and cash reconciliation. The role requires work in at least two Patient Access service areas, including the Emergency Department. The stated schedule is Monday through Friday, 5:00 a.m. to 2:30 p.m.; employees must also be available to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED.
Minimum typing speed of 35 words per minute.
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 duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must meet applicable required vaccination and screening requirements before starting employment, 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 in a customer service role.
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 and obtain complete and accurate demographic information.
Perform scheduling, pre-admission and admission, reception, and discharge functions.
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 amounts owed before, during, and after service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash control policies.
Obtain 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 insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notification to payors.
Assist with scheduling and coordinating post-discharge care for patients.
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 issues raised by physician offices and patients.