Patient Access Representative-MGC

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Spartanburg Regional Medical Center
January 7, 2022
Spartanburg, South Carolina
Job Type


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The Centers for Medicare and Medicaid Services (CMS), a federal agency, is requiring COVID-19 vaccination of staff at health care facilities that participate in the Medicare and Medicaid programs. All associates are required to provide proof of the COVID-19 vaccination. Exemptions may be accepted as an accommodation under the Americans with Disabilities Act (ADA), or religious beliefs, observances, or practices established under Title VII of the Civil Rights Act of 1964.
If you are offered and accept a position with SRHS, you will be required to provide proof of vaccination or will be given the opportunity to request a medical or religious exemption for consideration.

Patient Access Representative-MGC Peds Westside

  • Spartanburg, SC
  • Medical Group of the Carolinas
  • MGC-Pediatrics-Westside
  • Full-Time - Days (weekends as needed)
  • Administrative/Clerical
  • Job Grade 011
  • Req #: 41543


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

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

Medical Group of the Carolinas features 235 physicians in 20 specialty areas, and is structured to provide both patients and caregivers the ability to form strong relationships and create medical homes. Medical Group of the Carolinas includes a large number of conveniently-located primary care physician offices, 18 of which have been recognized as Physician Practice Connections-Patient Centered Medical Homes. It also offers five OB/GYN practices at six locations for women's health, two pediatric practices, as well as experienced specialty providers.


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