Patient Access Representative ED

Conifer Health Solutions•El Paso, TX

4d•Onsite

About The Position

The Patient Access Representative 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. This position is based at THOP Memorial Campus, works full-time evenings from 3:00 p.m. to 11:30 p.m. with rotating weekends, and requires Spanish.

Requirements

High school diploma or GED required.
Spanish required.
Zero to one year in a customer service role.
Must be able to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
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 express detailed information through oral and written communication.
Ability to professionally collect money owed by patients or guarantors using appropriate negotiation techniques.
Must be available to work hours and days as needed based on departmental or system demands.
Must obtain and 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.
Zero to one year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

Responsibilities

Greet patients in accordance with Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and 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, enter data in the scheduling system, and provide appointment instructions as needed.
Educate patients about financial liabilities and use compliant techniques to collect patient payments before, during, and after the date of service.
Reconcile hospital cash and enter secured payments in accordance with financial and cash control policies and procedures.
Complete 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 for scheduled and unscheduled hospital services; and notify payors of inpatient visits.
Assist with scheduling and coordinating post-discharge care for patients.
Resolve issues raised by physician offices and patients.
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 maintaining Conifer Standards of Care.