Patient Access Representative ED

Conifer Health Solutions•Harlingen, TX

2h•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing scheduling, registration, 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 Valley Baptist Harlingen and requires availability for rotating day, evening, night, and weekend shifts; the schedule is provided four weeks in advance. Spanish is preferred. The representative greets patients according to Conifer Standards of Care, provides customer service, completes registrations, follows financial and cash-control procedures, explains and obtains required hospital and patient legal forms, and scans protected health information. The position may also support diagnostic scheduling and coordinate post-discharge care. Other financial duties include educating patients about liabilities, reconciling hospital cash, entering secured payments, verifying medical necessity and insurance coverage, completing financial-clearance work lists, obtaining authorizations, and notifying payors of inpatient visits. The role requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. The work involves hospital administration and may take place in patient-care locations with potential exposure to life-threatening patient conditions. Candidates must meet applicable vaccination and screening requirements before starting employment.

Requirements

High school diploma or GED required.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
Working knowledge of a PC, CRT, and printer.
Customer service skills and experience.
Ability to work in a fast-paced environment 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 to collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
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, as applicable and permitted by law.

Nice To Haves

Spanish language skills preferred.
Knowledge of functions and relationships within a hospital environment preferred.
Understanding of third-party payor requirements preferred.
Understanding of compliance standards preferred.
0–1 year of administrative experience in a medical facility, health insurance, or related area preferred.
Some college coursework preferred.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration and obtain complete, accurate demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secured payment entry.
Explain and obtain required hospital and patient legal forms, including 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.
When needed, assist with scheduling diagnostic procedures, enter scheduling data, and provide appointment instructions.
Educate patients about their financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
When needed, assist with scheduling and coordinating post-discharge care.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve issues raised by physician offices and patients.