Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through scheduling, registration, patient pre-admission and admission, reception, and discharge functions. The role is responsible for collecting complete and accurate patient demographic information and using compliant techniques to collect patient liabilities before, during, and after the date of service. The representative greets patients and provides customer service, completes registration, follows financial and cash-control procedures, and explains and secures required hospital and patient legal forms. Duties also include scanning protected health information and preparing patient information packets. The representative may assist with scheduling diagnostic procedures and providing appointment instructions. The role educates patients about financial liabilities; verifies insurance, benefits, coverage, and eligibility; performs medical-necessity checks; completes financial-clearance work-list activities; obtains authorizations; and notifies payors of inpatient visits. The representative may also assist with coordinating post-discharge care. The position is based at Baptist Medical Center and is scheduled Wednesday through Saturday, 6:00 a.m. to 6:00 p.m. Employees must be available to work other hours or days as needed based on departmental or system demands. The work takes place in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED required.
0–1 year of experience 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 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 appropriately interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law; these may include COVID-19 and influenza vaccinations.

Nice To Haves

0–1 year of administrative experience in a medical facility, health insurance, or a related area preferred.
Some college coursework preferred.
Knowledge of functions and relationships within a hospital environment preferred.
Understanding of third-party payor requirements preferred.
Understanding of compliance standards preferred.

Responsibilities

Greet patients and provide customer service in accordance with Conifer Standards of Care.
Complete full patient registration at the date of service and obtain complete and accurate patient demographic information.
Follow financial and cash-control policies and procedures; reconcile hospital cash and enter secured payments.
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, entering information into the scheduling system, and providing appointment instructions, as needed.
Educate patients about their financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform medical-necessity checks and verify insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
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.
Work in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
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 or system demands.