Patient Access Representative Outpatient

Conifer Health Solutions•Brownsville, TX

2d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through scheduling, registration, pre-admission and admission, reception, and discharge functions. The role gathers complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. It is based at Valley Baptist Brownsville and requires Spanish. The stated schedule is Monday through Friday, days, with an eight-hour shift scheduled between 5:30 a.m. and 6:00 p.m. The representative greets patients according to Conifer Standards of Care, completes registrations, explains and obtains required hospital and patient legal forms, and scans and organizes protected health information. The role may support diagnostic scheduling and post-discharge care coordination. It also includes financial clearance and verification tasks, insurance authorizations, payment entry and cash reconciliation, and securing inpatient visit notifications to payors. The position requires customer service, communication, accuracy, and the ability to work in a fast-paced hospital environment. Employees must perform essential duties in at least two Patient Access service areas, including the Emergency Department. The role may involve patient-care locations and potential exposure to life-threatening patient conditions.

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 express 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 appropriately interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of required vaccinations and screenings before 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 following 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 patient financial liabilities and use compliant techniques to collect amounts owed.
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, enter information in the scheduling system, and provide appointment instructions as needed.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies.
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 insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve issues raised by physician offices and patients.