Patient Access Rep (FT

Spartanburg Regional Healthcare System • Spartanburg, SC

2d

About The Position

The Patient Access Representative receives, coordinates, and implements the initial patient experience. The role performs functions essential to proper clinical treatment, billing and reimbursement, patient satisfaction, and efficient, accurate patient registration. The representative maintains demographic and financial information, verifies insurance benefits, supports financial clearance and prior authorizations, resolves registration issues, and follows applicable regulations, policies, and ethical registration practices. The position also includes patient communication, payment processing, clinical screening for specified modalities, and use of computer systems to support workflow.

Requirements

• High school diploma or equivalent.
• At least 1 year of experience in healthcare access, customer service, an office setting, and/or a financial setting.
• Excellent typing and keyboarding skills with a high degree of data-entry accuracy.
• Excellent oral and written communication skills.
• Ability to complete detailed, detail-oriented work.
• Positive attitude and ability to work well both as part of a team and independently.
• Ability to maintain confidentiality and handle sensitive information.

Nice To Haves

• Associate’s degree.
• At least 3 years of experience in healthcare access, customer service, an office setting, and/or a financial setting.

Responsibilities

• Complete accurate, quality patient registrations in the HIS system while maintaining the integrity of demographic and financial information needed for clinical and billing functions.
• Manage time and work processes to meet organizational and departmental expectations.
• Verify and review insurance benefits and complete 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 state and federal regulations and system policies regarding compliance, integrity, and ethical registration practices.
• Complete patient estimate letters, attempt cash collection when applicable, and process patient payments for account posting.
• Practice AIDET in customer- and patient-related encounters.
• Review medical orders for compliance with government and hospital guidelines and clinical protocols.
• Complete clinical screening for specified modalities to ensure patient safety.
• Use computer systems appropriately to support efficient and effective workflow.
• 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 related reconciliation and deposit functions.
• Perform other duties assigned by the department supervisor or manager.

What This Job Offers

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