Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

1d•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 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, provides customer service, completes registrations, explains and secures hospital and patient legal forms, and handles protected health information and patient records. The role also supports financial clearance by checking medical necessity, verifying insurance and eligibility, obtaining authorizations, and notifying 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 and is scheduled Wednesday through Saturday, 7 a.m. to 7 p.m. Work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions. The employee must be available to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED.
Zero to one year of experience 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 professionally collect money owed by patients or guarantors using appropriate negotiation techniques.
Ability to interpret physician orders, medical terminology, and insurance cards.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
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.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
Zero to one 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 complete, accurate demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secure payment entry.
Explain and obtain 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, entering information into scheduling systems, and providing appointment instructions, as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Check medical necessity and verify insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration and 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, as needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve physician-office and patient issues and maintain collaborative relationships with internal and external clients.