Patient Access Representative ED

Conifer Health Solutions•San Antonio, 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 collects complete and accurate patient demographic information and uses compliant techniques to explain and collect patient financial liabilities before, during, and after the date of service. The representative greets patients and provides customer service, completes registrations, explains and secures required legal and hospital forms, and scans protected health information. Duties also include verifying insurance, benefits, coverage, and eligibility; completing financial clearance activities; obtaining authorizations and medical-necessity verification; notifying payors of inpatient visits; and reconciling hospital cash and entering secured payments. The representative may assist with diagnostic scheduling and coordinating post-discharge care. This position works in hospital administration and may work in patient-care locations where there is potential exposure to life-threatening patient conditions. The employee must be available to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED.
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 express detailed information through oral and written communication.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to professionally use negotiation techniques to collect money owed by patients or guarantors.
Ability to 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 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 related area.
Some college coursework.

Responsibilities

Greet patients according to 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 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, enter data in the scheduling system, and provide appointment instructions when needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control policies.
Verify insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance work-list activities; obtain insurance authorizations; and secure inpatient visit notifications to payors.
Secure medical-necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Assist with scheduling and coordinating post-discharge care when needed.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve physician-office and patient issues.