Patient Access Representative ED

Conifer Health Solutions•El Paso, TX

4d•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 gathers accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after services. The position is based at The Hospitals of Providence East Campus, with evening and night shifts available Monday through Friday and rotating weekends. Spanish is required. The representative provides customer service, completes patient registrations, explains and obtains required hospital and patient forms, scans protected health information, and prepares patient information packets. The role also supports scheduling diagnostic procedures and post-discharge care as needed. Financial duties include educating patients about their liabilities, processing payments, reconciling cash, verifying insurance and medical necessity, completing financial-clearance worklists, obtaining authorizations, and notifying payors of inpatient visits. The position requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Employees may need to provide vaccination and screening confirmation, as applicable and permitted by law, before starting employment. The work takes place in hospital administration and may include patient-care locations where exposure to life-threatening patient conditions is possible.

Requirements

High school diploma or GED.
Spanish language ability is required.
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 interpret physician orders, medical terminology, and insurance cards while following Conifer Standards of Care.
Ability to use professional negotiation techniques to collect patient or guarantor balances.
Must be available to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
Zero to one year of customer service experience.
Frequent prolonged standing, sitting, and walking; ability to sit at a computer terminal for extended periods.
Occasionally lift or carry items weighing up to 25 pounds and push a wheelchair to assist patients with mobility problems.

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 patient registration at the date of service and obtain accurate demographic information.
Follow financial and cash-control policies and procedures, including reconciling hospital cash and securely entering payments.
Explain and obtain required hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Medicare messages, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders.
Assist with scheduling diagnostic procedures, enter scheduling information, and provide appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after service.
Secure medical-necessity checks and verify insurance, benefits, coverage, and eligibility.
Complete assigned registration and financial-clearance worklists.
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.
Resolve issues raised by physicians’ offices and patients.
Build and maintain collaborative relationships with internal and external clients to support communication, productivity, and accuracy.