Patient Access Rep(FT Days)

Spartanburg Regional Healthcare System • Union, SC

1d

About The Position

The Patient Access Representative receives, coordinates, and implements the initial patient experience. The role performs essential functions that support appropriate clinical treatment, billing and reimbursement, patient satisfaction, and efficient, accurate patient registration. Responsibilities include gathering and maintaining demographic and financial information, verifying benefits and financial clearance, supporting prior authorization, resolving registration issues, processing payments, and completing required clinical screening.

Requirements

• High school diploma or equivalency.
• One year of experience in healthcare access, customer service, and/or a financial setting.

Nice To Haves

• Associate degree.
• Three years of experience in healthcare access, customer service, and/or a financial setting.

Responsibilities

• Complete accurate, quality registrations in the HIS system, maintaining the integrity of demographic and financial information required for clinical and billing functions at every patient encounter.
• Manage time and work processes to meet organizational and departmental expectations.
• Verify and review insurance benefits and financial clearance for all payors at each encounter.
• Work with the Centralized Referral Center to ensure prior authorizations have been obtained.
• Research and resolve registration issues involving demographic, clinical, and insurance accuracy.
• Follow applicable state and federal regulations and system policies for compliance, integrity, and ethical registration practices.
• Complete patient estimate letters, attempt cash collection when applicable, and process patient payments for account posting.
• Practice AIDET during all customer- and patient-related encounters.
• Review medical orders to ensure they comply with government and hospital guidelines and clinical protocols.
• Complete clinical screening for specified modalities to ensure patient safety.
• Use computer systems appropriately to facilitate efficient and effective workflow processes.
• Obtain insurance eligibility and benefit information from payors by phone, RTE, or web to provide patients with estimated responsibility for requested or rendered services.
• Maintain an accurate cash drawer and perform cash-drawer reconciliation and deposit functions.
• Perform other duties assigned by the department supervisor or manager.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED