Patient Access Representative ED

Conifer Health Solutions•El Paso, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through 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. This position is based at The Hospitals of Providence East Campus and requires Spanish. The stated schedule is nights, 11 PM–7 AM Monday through Friday, with rotating weekends. The representative greets patients according to Conifer Standards of Care, provides customer service, completes patient registration, handles required legal forms, and scans and organizes protected health information. The role also supports financial clearance, including verifying insurance and eligibility, securing authorizations and medical-necessity checks, communicating with payors, collecting payments, and reconciling cash. Other duties may include scheduling diagnostic procedures and coordinating post-discharge care. The position requires the ability to work in a fast-paced hospital environment, communicate detailed information, and perform essential duties in at least two Patient Access service areas, including the Emergency Department. Candidates must provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Requirements

High school diploma or GED required.
0–1 year 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 appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.
Spanish required.

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 related area.
Some college coursework.

Responsibilities

Greet patients in accordance with Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain complete, 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, enter information in the scheduling system, and provide appointment instructions as needed.
Educate patients about financial liabilities and use compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies and procedures.
Secure medical-necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility.
Complete assigned registration financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notification to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
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.
Resolve physician-office and patient issues.
Work hours and days as needed based on departmental or system demands.