Patient Access Representative ED

Conifer Health Solutions•San Antonio, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through scheduling, registration, patient 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, completes registrations, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role may also assist with scheduling diagnostic procedures and coordinating post-discharge care. Additional responsibilities include educating patients about financial liabilities; processing payments and cash reconciliation; verifying medical necessity, insurance, benefits, coverage, and eligibility; completing financial clearance work; obtaining authorizations; and notifying payors of inpatient visits. The position is based at Baptist Medical Center and has a stated schedule of Friday through Monday, 11 a.m. to 11 p.m. The employee 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.
Working knowledge of PC, CRT, and printer use.
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 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.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before starting 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 in accordance with Conifer Standards of Care and provide customer service.
Complete patient registration and obtain accurate demographic information.
Explain and secure 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 as needed, including entering information into scheduling systems and providing appointment instructions.
Educate patients about their financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies.
Secure medical-necessity checks and verify insurance, benefits, coverage, and eligibility.
Complete assigned registration 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 for patients as 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 effective communication, productivity, and accuracy.