Patient Access Representative - Emergency Dept, Full Time - Nights

Boone Health•Columbia, SC

10d•Onsite

About The Position

The Patient Access Representative is often the first point of contact for patients and represents Boone Health through compassionate, high-standard customer service consistent with its mission, vision, values, and service standards. The role facilitates patients’ entry into Boone Health facilities and requires emotional intelligence, personal connection, attention to detail, and the ability to respond to patients with varying medical needs and acuity. The position supports patient safety and the accuracy of clinical and financial records by selecting the correct patient from the master person index, collecting demographic and insurance information, verifying benefits, and collecting applicable payments. It performs hospital registration and scheduling in multiple Boone Health systems, verifies insurance, scans and retrieves documents, and confirms orders are complete, signed, and for the correct test. The representative also provides procedure preparation instructions and explains patients’ financial responsibilities. The role requires knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements. It must understand and follow Medicare Secondary Payer requirements, HIPAA privacy standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements. Each patient completes a HIPAA acknowledgment. Benefits start on the first day of employment.

Requirements

High school diploma or GED.
Ability to provide compassionate, professional, and patient-focused service.
Strong attention to detail and ability to maintain accurate patient records.
Strong communication skills.
Ability to understand and follow applicable insurance, Medicare, regulatory, and accreditation requirements.

Nice To Haves

Associate degree.
Less than two years of experience.
CHAA license/certification.

Responsibilities

Use critical-thinking skills to assess and respond to varied situations, anticipate patients’ needs, and respond appropriately.
Communicate professionally, positively, and with a patient-focused approach to patients, families, and coworkers in person and by phone.
Register and schedule patients within multiple Boone Health systems.
Ensure proper patient identification and select the correct patient from the master person index.
Verify insurance, scan and retrieve documents, and collect accurate demographic and insurance information.
Verify benefits and collect applicable patient payments at the point of service.
Validate that orders are complete, signed by the ordering provider, and for the correct test.
Provide patients with preparation instructions for scheduled procedures and education about financial responsibilities.
Follow applicable regulatory and accreditation requirements, including Medicare Secondary Payer, HIPAA, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
Ensure each patient completes a HIPAA acknowledgment.
Perform other responsibilities as assigned.