Patient Access Representative, Patient Access, Full Time, Third Shift

Self Regional Healthcare; Greenwood (SC); On-site; USD 42,000 - 46,000; Full time

Job summary

Self Regional Healthcare in Greenwood, SC is seeking a Full-Time Patient Access Representative for night shift (8:30pm-7:00am) with varied days. Responsibilities include scheduling, pre-certification, benefit verification, and registration for inpatient, outpatient and emergency care.

This role requires fast response to customer needs, independent judgment, and accurate data entry into EPIC, with attention to insurance policies and patient financial responsibilities.

Qualifications

• High school diploma or equivalent required.
• Healthcare knowledge preferred.
• Strong customer service experience and communication skills.
• Medical terminology ICD-10 and CPT knowledge beneficial.
• Ability to build working relationships and handle challenging customers.

Responsibilities

• Schedule and register patients for inpatient, outpatient, and emergency care.
• Perform scheduling, pre-certification and benefit verification.
• Explain hospital policies and financial responsibilities to patients and obtain signatures.
• Enter accurate demographic and financial data into the EPIC system.
• Determine estimated patient responsibility based on verified benefits and deductibles.
• Coordinate with physicians, nursing, and staff to ensure proper patient entry.

Skills

Customer service

Effective communication

Medical terminology

Analytical skills

Attention to detail

Education

High School Diploma

Tools

EPIC

Insurance verification systems

Job description

Full Time, 8:30pm-7:00am, Varied Days

Full Time, 8:30pm-7:00am, Varied Days
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