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, patient 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. The representative greets patients according to Conifer Standards of Care and provides customer service while completing registrations, explaining and securing required hospital and patient legal forms, and following financial and cash control procedures. The role may also support diagnostic scheduling, prepare patient information packets, coordinate post-discharge care, and complete insurance and financial clearance activities. The position is based at St. Luke's Baptist and requires availability for departmental or system scheduling needs.

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 PCs, CRTs, and printers.
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 professionally collect money owed by patients or guarantors using appropriate negotiation techniques.
Must be available to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law; these may include COVID-19 and influenza vaccinations.
Must be able to sit at a computer terminal for extended periods.
Must occasionally lift or carry items weighing up to 25 pounds; frequently stand, sit, and walk for prolonged periods; and occasionally push a wheelchair to assist patients with mobility problems.

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 according to Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain accurate patient demographic information.
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, entering information in the scheduling system, and providing 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 secured payment entry in accordance with financial and cash control policies and procedures.
Complete 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 secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients.
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 issues involving physician offices and patients.