Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. At the emergency department, the representative greets patients, completes registration, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role also educates patients about financial liabilities, verifies insurance and benefits, completes financial clearance activities, obtains authorizations, and notifies payors of inpatient visits. Depending on departmental needs, the representative may assist with scheduling diagnostic procedures and coordinating post-discharge care. The position is based at St. Luke's Baptist. Available schedules are Wednesday–Saturday, 7 a.m.–7 p.m., or Sunday–Wednesday, 7 a.m.–7 p.m. The employee must also be available to work hours and days as needed based on departmental and system demands.

Requirements

High school diploma or GED.
0–1 year in a customer service role.
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 appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must meet applicable vaccination and screening requirements before employment starts, as permitted by law.

Nice To Haves

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

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 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 when needed, including entering information into the scheduling system and providing appointment instructions.
Educate patients about financial liabilities and use compliant techniques to collect patient payments before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry according to 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 registration financial clearance work lists; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notification to payors.
Assist with scheduling and coordinating post-discharge care when 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.