Patient Access Representative - Emergency Dept, Full Time -Days

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 the organization’s mission, vision, values, and service standards. The role facilitates patients’ entrance into Boone Health facilities and requires emotional intelligence, attention to detail, and the ability to connect with patients whose needs and acuity vary. This position supports reimbursement and denial prevention through accurate collection of demographic and insurance information, benefit verification, and point-of-service collection. Correctly selecting patients from the master person index (MPI) is essential to patient safety and the integrity of clinical and financial records. The role includes hospital registration and scheduling across multiple Boone Health systems, with a need to remain knowledgeable about insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements.

Requirements

High school diploma or GED.
Friendly demeanor and exceptional attention to detail.
Ability to communicate effectively and make personal connections with patients.
Ability to maintain knowledge and competence regarding insurance carriers, Medicare guidelines, and federal, state, and accreditation agency requirements.

Nice To Haves

Associate degree.
Less than 2 years of experience.
CHAA license/certification.

Responsibilities

Use critical thinking to assess and respond to varied situations, anticipate patients’ needs, and respond appropriately.
Communicate professionally, positively, and with a patient-focused approach with 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 (MPI).
Verify insurance and benefits, and collect applicable patient payments at the point of service.
Scan and retrieve documents within multiple Boone Health systems.
Validate that orders are complete, signed by the ordering provider, and specify the correct test.
Provide patients with preparation instructions for scheduled procedures and education about financial responsibilities.
Understand, explain, and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
Ensure each patient completes a HIPAA acknowledgement.
Perform other responsibilities as assigned.