Patient Access Rep-MGC Cardiology

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 appropriate clinical treatment, billing and reimbursement, patient satisfaction, and accurate, efficient patient registration. The representative maintains accurate demographic and financial information in the HIS system, verifies insurance and financial clearance, supports referral authorization processes, resolves registration issues, and assists patients with estimates and payments. The position also includes clinical screening for specified modalities, review of medical orders for compliance, and adherence to applicable regulations, policies, and ethical registration practices.

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 accuracy in data entry.
• 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 and maintain 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 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 occurrences involving demographic, clinical, and insurance accuracy.
• Follow state and federal regulations and system policies concerning 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 all customer- and patient-related encounters.
• Review medical orders to ensure they comply 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 processes.
• 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 as assigned by the department supervisor or manager.

What This Job Offers

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