Patient Access Rep-MGC Cardiology-Spartanburg

About the Role

The Patient Access Representative ensures a positive initial patient experience by handling critical registration functions that support clinical treatment, billing, reimbursement, and patient satisfaction.

Responsibilities

• Accurately complete patient registrations in the HIS system, maintaining demographic and financial data integrity for clinical and billing purposes.
• Verify and review insurance benefits and financial clearance for all payors at each patient encounter.
• Collaborate with the Centralized Referral Center to ensure prior authorizations are obtained.
• Research and resolve registration discrepancies related to demographic, clinical, and insurance accuracy.
• Adhere to state, federal, and system policies regarding compliance, integrity, and ethical registration practices.
• Generate accurate patient estimate letters, attempt cash collection when applicable, and process patient payments for account posting.
• Practice AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You) in all patient interactions.
• Review medical orders for compliance with government, hospital, and clinical protocols.
• Complete clinical screenings for specified modalities to ensure patient safety.
• Utilize computer systems efficiently to support workflow processes.
• Obtain insurance eligibility and benefit information via phone, RTE, or web to provide patients with estimated financial responsibility.
• Maintain an accurate cash drawer, including reconciliation and deposit functions.
• Perform other duties as assigned by department supervisors or managers.

Requirements

• High School Diploma or equivalent (required).
• Minimum 1 year of experience in healthcare access, customer service, office, or financial settings (required).
• Associate’s Degree (preferred).
• 3+ years of experience in healthcare access, customer service, office, or financial settings (preferred).

Skills

• Excellent typing and keyboarding skills with high accuracy in data input.
• Strong oral and written communication skills.
• Detail-oriented with the ability to complete meticulous work.
• Positive attitude and ability to work both independently and as part of a team.
• Ability to maintain confidentiality and handle sensitive information.