Patient Access Representative I

MUSC Health; Columbia (SC); On-site; USD 30,000 - 45,000; Full time

Job summary

A health care institution in Columbia, South Carolina is seeking a Patient Admissions Specialist to process patient preadmission and admission data. The ideal candidate will assist with registration procedures, serve as a subject matter expert, and collaborate with clinical departments to enhance patient care processes. Required qualifications include a high school diploma and customer service experience. The position supports operational efficiency and patient satisfaction metrics.

Qualifications

• 1 year experience in customer service, health care, or a business related field.
• Ability to interpret and apply financial procedures and regulations.
• Previous experience with hospital information systems or word processing preferred.

Responsibilities

• Assist staff on registration procedures and insurance verification.
• Serve as a subject matter expert in patient access workflows.
• Coordinate patient flow and scheduling for accurate registration.
• Handle escalated patient inquiries and resolve conflicts.
• Collaborate with clinical departments to enhance patient access.
• Conduct quality assurance audits on registration data.
• Assist with training new staff members on policies.
• Monitor patient access metrics and KPIs.
• Participate in meetings to improve operational efficiency.

Skills

Customer service skills

Knowledge of health care procedures

Problem-solving abilities

Education

High school diploma

Tools

Hospital information systems

Word processing

Job description

Job Summary

Processes patient preadmission and admission demographic and insurance data; enters information in the hospital computer system; maintains quality control for each preadmission and admission to insure accuracy of information; acts as liaison between patients, financial counselors and hospital patient accounting; insures that all state, federal and MUSC policies and procedures are followed. Functions in the Patient Admissions Department.

Key Responsibilities

• Assist Patient Access Representative I staff, providing guidance on registration procedures, insurance verification, and customer service best practices.
• Serve as a subject matter expert in patient access workflows, policies, and procedures, assisting staff with complex registration issues, insurance inquiries, and patient concerns.
• Coordinate patient flow and scheduling, ensuring efficient and accurate registration, appointment scheduling, and check-in processes.
• Handle escalated patient inquiries, complaints, or issues, resolving conflicts, and providing solutions to enhance patient satisfaction.
• Collaborate with clinical departments, nurses, and physicians to address patient care needs, scheduling conflicts, and improve patient access processes.
• Conduct quality assurance audits, reviewing patient registration data, insurance information, and documentation for accuracy and compliance with regulatory standards.
• Assist with training new staff members, developing training materials, and conducting ongoing education sessions on patient access policies and procedures.
• Monitor key performance indicators (KPIs) related to patient access metrics, such as registration accuracy, wait times, and patient satisfaction scores.
• Participate in departmental meetings, committees, and initiatives to improve operational efficiency, enhance patient experience, and achieve organizational goals.

Minimum Experience and Training Requirements

High school diploma with 1 year experience in customer service, health care, or a business related field. Ability to interpret and apply financial procedures and regulations preferred. Previous experience with hospital information systems or word processing preferred.

Physical Requirements

Ability to perform job functions while standing, sitting, walking, climbing stairs, working indoors, from elevated areas, in confined spaces, kneeling, bending at waist, squatting, performing repetitive motions, reaching in all directions, using both hands and legs, lifting and carrying 15 lbs. unassisted. Vision and hearing requirements as specified. Ability to work in latex safe environment, maintain tactile sensory functions, and other specified physical abilities.

EEO Statement

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Federal E-Verify Program

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please refer to https://www.uscis.gov/e-verify/employees