Patient Access Representative-Mgc Center Family Medicine

**Summary**

**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.

**Core Job Responsibilities**

• Ensures proper utilization of computer systems to facilitate efficient and effective work flow processes
• Works in conjunction with the Centralized Referral Center to ensure prior-authorizations have been obtained
• 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
• Ability to complete detailed oriented work
• Verification and review of insurance benefits and financial clearance for all payors at each encounter
• Excellent typing/keyboarding skills with a high degree of accuracy in inputting data
• Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met
• 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
• Must possess excellent oral and written communication skills
• 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
• Responsible for practicing AIDET in all customer/patient related encounters
• Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical registration practices
• Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit
• Ability to maintain confidentiality and handle sensitive information
• Research and resolve all registration occurrences for demographic, clinical and insurance accuracy
• Ensures proper utilization of computer systems to facilitate efficient and effective work flow processes
• Performs other duties assigned by department supervisor or manager
• Must possess a positive attitude and work well as part of a team as well as independently
• Accurately complete patient estimate letter and attempt cash collection when applicable and process patient payments for account posting

**Minimum Requirements**

**Education**

• High School Diploma or equivalent
• Preferred: Associates Degree

**Experience**

• Minimum one year experience in healthcare access, customer service, office and/or financial setting

Preferred: Minimum three years experience in healthcare access, customer service, office and/or financial setting.

**Additional Information**

Spartanburg Regional Healthcare System (SRHS) offers a full spectrum of services through six hospital campuses: Spartanburg Medical Center, Spartanburg Medical Center — Mary Black Campus, Pelham Medical Center, Cherokee Medical Center, Spartanburg Hospital for Restorative Care and Union Medical Center. SRHS also includes Ellen Sagar Nursing Center and Woodruff Manor. SRHS provides unparalleled cancer care through Gibbs Cancer Center & Research Institute, with locations in Spartanburg, Greer, Union and Gaffney. The multidisciplinary Medical Group of the Carolinas has more than 600 physicians across Upstate South Carolina and western North Carolina. SRHS employs more than 9,000 associates and offers outpatient surgery centers and a Level I Trauma Center.

Founded on Aug. 29, 1921, as Spartanburg General Hospital, Spartanburg Regional celebrates over 100 years of excellence.