Patient Access Representative II

Conifer Health Solutions•Rock Hill, SC

4d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing scheduling, registration, patient 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 in Fort Mill, South Carolina, with a stated schedule of Sunday through Tuesday, 7 p.m.–7 a.m., and Wednesday, 7 p.m.–1 a.m. The representative greets patients according to Conifer Standards of Care, provides customer service, completes patient registration, and follows financial and cash-control procedures. Duties include explaining and securing hospital and patient legal forms, scanning protected health information, preparing patient information packets, verifying insurance and medical necessity, obtaining authorizations and payor notifications, completing financial-clearance work lists, collecting payments, and reconciling cash. The role may also support diagnostic scheduling and post-discharge care coordination. The position requires work in at least two Patient Access service areas, including the Emergency Department. Employees must be available to work hours and days as needed based on departmental or system demands. The work takes place in hospital administration and may occur in patient-care locations with potential exposure to life-threatening patient conditions.

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 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 while maintaining Conifer Standards of Care.
Must provide confirmation of required vaccinations and screenings before employment starts, as applicable and permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.

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 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, including cash reconciliation and secure payment entry.
Explain and obtain required hospital and patient legal forms, such as 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.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform 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.
May assist with scheduling diagnostic procedures, entering information in the scheduling system, and providing appointment instructions.
May assist with scheduling and coordinating post-discharge care.
Resolve issues raised by physician offices and patients.
Build and maintain collaborative relationships with internal and external clients to support communication, productivity, and accuracy.
Work in at least two Patient Access service areas, including the Emergency Department.