Patient Access Representative ED

Conifer Health Solutions•El Paso, TX

14h•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. Spanish is required. The position is at The Hospitals of Providence East Campus, with a night shift from 11 PM to 7 AM, Monday through Friday, and rotating weekends. The representative greets patients and provides customer service, completes registration, explains and obtains 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 verifies insurance, benefits, coverage, and eligibility; performs medical-necessity checks and financial clearance work; obtains authorizations; and notifies payors of inpatient visits. The representative also explains financial liabilities, processes payments, and performs cash reconciliation according to applicable policies. The role requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Candidates must meet applicable vaccination and screening requirements before starting employment, as permitted by law.

Requirements

Spanish required.
High school diploma or GED required.
Zero to one year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
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 orally and in writing.
Ability to use professional negotiation techniques to collect money owed by patients or guarantors.
Ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must meet applicable required vaccination and screening requirements before starting employment, as permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.

Nice To Haves

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

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration and obtain accurate demographic information.
Explain and secure required hospital and patient legal forms, including Advance Directives, Conditions of Services, 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 data in scheduling systems, and providing appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect patient payments before, during, and after service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies.
Complete medical-necessity checks and verify insurance, benefits, coverage, and eligibility.
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 as needed.
Perform essential job duties 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.