Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

2d•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 service. The position is based at Baptist Medical Center and is scheduled Wednesday through Saturday, 6 a.m. to 6 p.m. The representative provides patient service in accordance with Conifer Standards of Care, completes registrations, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role also supports insurance verification, financial clearance, authorizations, medical necessity checks, payment processing, and cash reconciliation. Depending on departmental needs, the representative may assist with diagnostic scheduling and coordination of post-discharge care. The role 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 hours and days as needed based on departmental or system demands. Required vaccinations and screenings, as applicable and permitted by law, must be confirmed before employment begins.

Requirements

High school diploma or GED required.
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 amounts owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must meet applicable required vaccination and screening requirements before starting employment.
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 customer service experience.
Zero to one year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

Responsibilities

Greet patients and provide customer service in accordance with Conifer Standards of Care.
Complete patient registration at the date of service and obtain complete, accurate demographic information.
Explain and secure required 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, entering information into 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.
Process payments and perform hospital cash reconciliation in accordance with financial and cash control policies and procedures.
Perform medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; complete assigned financial clearance work-list activities; obtain authorizations for scheduled and unscheduled hospital services; and notify payors of inpatient visits.
Assist with scheduling and coordinating post-discharge care, as needed.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve issues raised by physicians’ offices and patients.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.