Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

2d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate patient demographic information and uses compliant methods to collect patient liabilities before, during, and after the date of service. 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, processes payments, reconciles cash, verifies insurance and medical necessity, obtains authorizations, and completes financial-clearance activities. 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 AM to 7 PM. Employees must be available to work hours and days as needed based on departmental or system demands. The work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions.

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.
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 professional negotiation techniques to collect money owed by patients or guarantors.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
0–1 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 and obtain accurate demographic information.
Explain and secure hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Medicare notices, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders.
Assist with scheduling diagnostic procedures, entering information into scheduling systems, and providing appointment instructions when needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies.
Check or verify medical necessity in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance work-list activities; obtain authorizations; and notify payors of inpatient visits.
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 communication, productivity, and accuracy.