Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

4d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing 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. The representative greets patients and provides customer service, completes registration, follows financial and cash-control procedures, explains and secures required hospital and patient legal forms, and scans protected health information. The role may prepare patient information packets and assist with scheduling diagnostic procedures. It also includes educating patients about financial liabilities, reconciling cash and recording payments, checking medical necessity, verifying insurance coverage and eligibility, completing financial-clearance work lists, obtaining authorizations, and notifying payors of inpatient visits. The representative may also help coordinate post-discharge care. The position is based at Northcentral Baptist and is scheduled for nights, 6 p.m.–6 a.m., Wednesday through Saturday. Employees must be available to work hours and days as needed based on departmental or system demands. The role requires work in at least two Patient Access service areas, including the Emergency Department.

Requirements

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 a 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 collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of required vaccinations and screenings before starting employment, 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, provide customer service, and complete full patient registration at the date of service.
Follow financial and cash-control policies and procedures, including hospital cash reconciliation and secure 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.
Assist with scheduling diagnostic procedures by entering information in the scheduling system, providing appointment instructions, and completing related tasks 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 medical-necessity checks and verify insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration financial-clearance work-list activities, obtain authorizations for scheduled and unscheduled hospital services, and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Work in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while following Conifer Standards of Care.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.