Patient Access Representative ED

Conifer Health Solutions•United States,

5d•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 demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The position is based at Northeast Baptist and is PRN, with rotating shifts as needed. The representative greets patients, provides customer service, completes registrations, explains and secures required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role may also assist with scheduling diagnostic procedures and coordinating post-discharge care. It includes educating patients about financial liabilities; processing payments and cash reconciliation; checking medical necessity; verifying insurance, benefits, coverage, and eligibility; completing financial-clearance work; obtaining authorizations; and notifying payors of inpatient visits. The position requires the ability to work across at least two Patient Access service areas, including the Emergency Department. Candidates must be able to interpret physician orders, medical terminology, and insurance cards while following Conifer Standards of Care. Required vaccinations and screenings, as applicable and permitted by law, must be confirmed before employment begins.

Requirements

High school diploma or GED required.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
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 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 appropriately interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment, 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.
0–1 year of administrative experience in a medical facility, health insurance, or a related area.
Some college coursework.

Responsibilities

Greet patients and provide customer service according to Conifer Standards of Care.
Complete full patient registration at the date of service and obtain accurate patient demographic information.
Follow financial and cash-control policies and procedures.
Explain and secure 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 when needed, including entering information in the scheduling system and providing appointment instructions.
Educate patients about financial liabilities and use proper, compliant techniques to collect patient payments before, during, and after the date of service.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies.
Conduct medical-necessity checks and verify insurance, benefits, coverage, and eligibility in accordance with applicable CMS requirements.
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 when needed.
Work in at least two Patient Access service areas, including the Emergency Department.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Be available to work hours and days as needed based on departmental and system demands.