Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

4d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains accurate patient demographic information and uses compliant methods to address patient financial liability before, during, and after service. The position is based at Northeast Baptist and is PRN, with rotating shifts as needed. The representative greets patients in accordance with Conifer Standards of Care, completes registrations, handles required legal and hospital forms, scans protected health information, and prepares patient information packets. The role may assist with scheduling diagnostic procedures and coordinating post-discharge care. It also includes explaining patient financial responsibilities, collecting and reconciling payments, verifying insurance and medical necessity, obtaining authorizations and payer notifications, and completing financial-clearance work. The representative works with patients, physicians’ offices, internal teams, and external clients to resolve issues and support effective communication, productivity, and accuracy. The role requires working in a hospital environment, including patient-care locations where exposure to life-threatening patient conditions may occur. Hours and days may vary according to departmental and system needs.

Requirements

High school diploma or GED required.
Minimum typing speed of 35 words per minute.
0–1 year in a customer service role.
Demonstrated 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 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 build and maintain collaborative relationships that support communication, productivity, and accuracy.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must meet applicable vaccination and screening requirements before starting employment, as 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.
0–1 year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

Responsibilities

Greet patients following Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain 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 scheduling systems, providing appointment instructions, and performing related tasks as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies and procedures.
Secure medical-necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance work-list activities; obtain insurance authorizations; and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Resolve physician-office and patient issues and maintain collaborative relationships with internal and external clients.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Work hours and days as needed based on departmental and system demands.