Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing 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. Working in the Emergency Department at Northcentral Baptist on a night schedule, the representative provides customer service, completes patient registrations, explains and secures required legal and hospital forms, scans protected health information, and prepares patient information packets. The representative also supports financial clearance, including verifying insurance and medical necessity, obtaining authorizations and payer notifications, and processing payments according to financial and cash-control policies. Depending on departmental needs, the role may assist with diagnostic-procedure scheduling and post-discharge care coordination. The position requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions. Employees must be available to work the hours and days required by departmental or system demands. Conifer may require confirmation of applicable vaccinations and screenings before employment begins.

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 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 appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to 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.

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 a 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 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 when needed, enter data into the scheduling system, and provide appointment instructions.
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 secure payment entry in accordance with financial and cash-control policies.
Complete medical-necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
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 when needed.
Resolve physician-office and patient issues.
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.