Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

4h•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through scheduling, registration, pre-admission and admission, reception, and discharge functions. The role gathers accurate patient demographic information and uses compliant practices to explain and collect patient financial liabilities before, during, and after services. Representatives provide customer service in accordance with Conifer Standards of Care and complete registrations, required legal forms, and financial clearance tasks. The position may also assist with diagnostic procedure scheduling and coordinating post-discharge care. The role verifies insurance, benefits, coverage, and eligibility; checks medical necessity; obtains authorizations and inpatient visit notifications; processes secure payments; and completes cash reconciliation. It also requires collaboration with internal and external clients, clear communication, and the ability to interpret physician orders, medical terminology, and insurance cards. The position is based in a hospital administration setting and may involve patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated 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 professionally collect money owed by patients or guarantors.
Availability to work hours and days as needed based on departmental or system demands.
Must 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 demographic information.
Follow financial and cash-control policies and procedures.
Explain and obtain 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 the scheduling system, and providing appointment instructions as needed.
Educate patients about financial liabilities and use compliant techniques to collect amounts owed before, during, and after service.
Perform hospital cash reconciliation and secure payment entry.
Check or verify medical necessity 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 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.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve issues raised by physicians’ offices and patients.