Patient Access Rep(Days)

Veterans in Healthcare

Spartanburg (SC)

On-site

USD 32,000 - 46,000

Full time

14 days+

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Job summary

Spartanburg Regional Healthcare System in Spartanburg, SC is seeking a Patient Access Representative for day shift at Spartanburg Medical Center. You will manage patient registration, verify insurance, and support frontline clinical and billing processes.

The role emphasizes accurate data entry, AIDET patient communication, and collaboration with the Centralized Referral Center to obtain prior authorizations and ensure smooth admissions.

Qualifications

Education: High School diploma or equivalency.
Experience: One-year experience in healthcare access, customer service, and/or financial setting.
Preferred Education: Associates degree.
Preferred Experience: Three years of experience in healthcare access, customer service, and/or financial setting.

Responsibilities

Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information.
Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met.
Verification and review of insurance benefits and financial clearance for all payors at each encounter.
Works with Centralized Referral Center to ensure prior authorizations have been obtained.
Research and resolve all registration occurrences for demographic, clinical and insurance accuracy.
Adheres to state and federal regulations and system policies regarding compliance and ethical registration practices.
Complete patient estimate letter and process patient payments for account posting.
Practices AIDET in all customer/patient encounters.
Reviews and ensures that medical orders meet government and hospital guidelines.

Skills

Healthcare access

Customer service

Financial setting

Education

High School diploma or equivalency

Associates degree

Tools

HIS system

Job description

Patient Access Rep(Days)

Location: Spartanburg, South Carolina, United States

Spartanburg Medical Center

Outpatient Access Services

Days

Job ID: P-108022

013

widget: Full Time

830am-5:00pm

Description

Job Requirements Position Summary The Patient Access Representative position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing and reimbursement, patient satisfaction as well as efficient and accurate handling of the patient registration process. Minimum Requirements

Education

High School diploma or equivalency

Experience

One-year experience in healthcare access, customer service, and/or financial setting

License/Registration/Certifications

Preferred Requirements

Preferred Education

Associates degree

Preferred Experience

Three years of experience in healthcare access, customer service, and/or financial setting

Preferred License/Registration/Certifications

Core Job Responsibilities

Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter
Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met
Verification and review of insurance benefits and financial clearance for all payors at each encounter
Works in conjunction with the Centralized Referral Center to ensure prior authorizations have been obtained
Research and resolve all registration occurrences for demographic, clinical and insurance accuracy
Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical registration practices
Accurately complete patient estimate letter and attempt cash collection when applicable and process patient payments for account posting
Responsible for practicing AIDET in all customer/patient related encounters
Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocols
Completes clinical screening for specified modalities to ensure patient safety
Ensures proper utilization of computer systems to facilitate efficient and effective workflow processes
Ability to obtain insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or rendered
Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit
Performs other duties assigned by department supervisor or manager

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