Patient Access Representative, Patient Access

Self Regional Healthcare; Greenwood (SC); On-site; USD 36,000 - 48,000; Full time

Job summary

Self Regional Healthcare in Greenwood, SC seeks a Full-Time Patient Access Clerk to perform scheduling, pre-certification, benefit verification, and data entry in EPIC. The role requires strong customer service and knowledge of ICD-10/CPT coding, with effective communication across clinical and non-clinical teams.

The successful candidate will explain hospital policies, obtain necessary signatures, and determine patient financial responsibility while coordinating with physicians and staff to

Qualifications

• High School Diploma or equivalent required.
• General knowledge of healthcare industry preferred.
• Strong customer service experience.
• Ability to communicate effectively in writing and speech.
• Familiarity with ICD-10 and CPT coding.
• Ability to build productive internal and external relationships.
• Strong analytical and organizational skills.
• Professional in handling challenging customers.

Responsibilities

• Schedule appointments and manage pre-certification and benefit verification.
• Explain hospital policies and financial responsibilities; obtain signatures.
• Enter demographic and financial data in EPIC accurately and timely.
• Verify pre-certification/authorization per insurer policies.
• Determine estimated patient financial responsibility using verified benefits.
• Communicate with physicians, nursing, clinical and non-clinical staff, and Patient Access.
• Perform other duties as assigned by management.

Skills

Customer service

Communication

Analytical skills

Organizational skills

ICD-10 knowledge

CPT knowledge

Scheduling

Pre-certification

Education

High School Diploma or equivalent

Job description

Full Time, 8:30am-5:00pm, Monday-Friday

Responsible for performing scheduling, pre-certification, benefit verification and pre-certification, Requires fast response to customer needs, independent judgement, ingenuity and initiative in utilization of computers and other equipment. Works with staff and understand appropriate scheduling processes and how processes affect ancillary departments. Conducts patient and guarantor interviews for inpatient, outpatient and emergency care registration, Explains hospital policies and financial responsibilities and obtains all required signatures. Ensures that all demographic and financial data is obtained and entered in the EPIC system in an accurate and timely manner. Ensures that pre-certification and/or authorization is obtained to comply with insurance company policies. Determines estimated patient financial responsibility through verified insurance benefits, co-pays and deductibles and calculates estimated self-pay portions to be collected at time of registration. Controls the main line of communication with physicians, nursing, clinical staff, non-clinical staff and Patient Access Department to ensure appropriate patient scheduling for proper entry into and through the health care system. Performs all other duties as assigned by the management team.

Special Qualifications

• High School Diploma or equivalent
• General knowledge and experience in the healthcare industry is preferred
• Strong Customer service experience
• Ability to communicate effectively both orally and in writing
• Working knowledge of medical terminology ICD-10 and CPT Coding
• Ability to build productive internal and external working relationships
• Basic analytical skills
• Strong organizational skills and attention to detail
• Ability to handle challenging customers in a professional manner