Patient Access Representative II

Conifer Health Solutions•Mount Pleasant, SC

12d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through scheduling, registration, pre-admission and admission, reception, and discharge activities. The role gathers complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The representative provides customer service, completes registrations, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role may also schedule diagnostic procedures and coordinate post-discharge care. Additional duties include verifying medical necessity, insurance, benefits, coverage, and eligibility; obtaining authorizations and inpatient visit notifications; completing financial clearance work lists; educating patients about financial liabilities; and handling payments and cash reconciliation according to applicable policies. The position is based at Novant East Cooper Medical Center. The scheduled shift is Wednesday through Saturday, 5 p.m. to 5 a.m., following 3–5 weeks of Monday-through-Friday daytime training. 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 include patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED required.
0–1 year of experience in a customer service role.
Ability to type at least 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 job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use professional negotiation techniques when collecting money owed by patients or guarantors.
Must obtain and provide confirmation of required vaccinations and screenings before employment begins, 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 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 complete, accurate patient demographic information.
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 into 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 the date of service.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies and procedures.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration and financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients.
Maintain collaborative relationships with internal and external clients to support communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while following Conifer Standards of Care.
Resolve issues raised by physician offices and patients.