Patient Access Representative ED

Conifer Health Solutions•Brownsville, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through patient scheduling, registration, pre-admission and admission, reception, and discharge activities. 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 position is based at Valley Baptist Brownsville and requires Spanish. Employees must be available for rotating day, evening, night, and weekend shifts, and other hours and days as required by departmental or system demands. The representative greets patients 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. Duties may also include scheduling diagnostic procedures and coordinating post-discharge care. The role verifies insurance, benefits, coverage, and eligibility; checks medical necessity; obtains authorizations and inpatient visit notifications; completes financial clearance work; explains patient financial liabilities; and handles payments and cash reconciliation in accordance with applicable policies. The position requires customer service skills, accurate communication, and the ability to work in a fast-paced hospital environment. The employee must perform essential duties in at least two Patient Access service areas, including the Emergency Department. Conifer may require applicable vaccinations and screenings, as permitted by law, before employment begins.

Requirements

High school diploma or GED.
Spanish language ability is required.
Must be able to work rotating day, evening, night, and weekend shifts and hours or days as required by departmental or system demands.
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 use professional negotiation techniques to collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Ability to perform each essential duty satisfactorily, with reasonable accommodations where applicable.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

0–1 year in a customer service role.
0–1 year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.
Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.

Responsibilities

Perform scheduling, registration, patient pre-admission and admission, reception, and discharge functions as needed.
Obtain complete and accurate patient demographic information and complete full patient registration at the date of service.
Greet patients in accordance with Conifer Standards of Care and provide customer service.
Explain and secure required hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Medicare notices, 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 scheduling systems, and provide appointment instructions as needed.
Educate patients about their financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash control policies and procedures.
Check or verify medical necessity 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; and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Resolve issues raised by physician offices and patients.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.