Patient Access Representative ED

Conifer Health Solutions•El Paso, TX

1d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through patient 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. Spanish is required. The position is based at The Hospitals of Providence Sierra Campus and requires availability for rotating day, evening, night, and weekend shifts; the schedule is provided four weeks in advance. The representative greets patients according to Conifer Standards of Care, completes registrations, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role may also support diagnostic-procedure scheduling and coordination of post-discharge care. Additional responsibilities include explaining patient financial liabilities, reconciling hospital cash and recording secured payments, verifying medical necessity and insurance coverage, completing financial-clearance work, obtaining authorizations, and notifying payors of inpatient visits. The role requires customer-service and communication skills, accurate interpretation of physician orders, medical terminology, and insurance cards, and the ability to work in a fast-paced hospital environment. Employees must be able to perform essential job duties in at least two Patient Access service areas, including the Emergency Department. Required vaccinations and screenings, as applicable and permitted by law, must be confirmed before employment begins.

Requirements

Spanish language required.
High school diploma or GED required.
0–1 year of experience in a customer service role.
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 collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards while following Conifer Standards of Care.
Must be available to work rotating day, evening, night, and weekend shifts and other hours or days as departmental or system demands require.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
Ability to sit at a computer terminal for extended periods; frequently stand, sit, and walk for prolonged periods; occasionally lift or carry up to 25 pounds and push a wheelchair.

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 patient registration and obtain complete, accurate demographic information.
Explain and secure 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.
Assist with scheduling diagnostic procedures, entering information in scheduling systems, and providing appointment instructions, as needed.
Educate patients about financial liabilities and professionally collect amounts owed using compliant techniques before, during, and after the date of service.
Reconcile hospital cash and enter secured payments according to financial and cash-control policies and procedures.
Secure medical-necessity checks and verify insurance, benefits, coverage, and eligibility.
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, as needed.
Resolve issues raised by physicians’ offices and patients.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Work hours and days as needed based on departmental or system demands.