Patient Access Representative I

Job Description Summary

The Patient Access Representative I serves as the point of contact for patients and visitors at the Medical University of South Carolina. This role is responsible for providing exceptional customer service while performing a variety of administrative and clerical tasks related to patient registration, appointment scheduling, insurance verification, and front desk operations. The representative ensures accurate and timely collection of patient demographics and insurance information, facilitates smooth patient flow, and supports clinical staff by maintaining an organized and efficient front office environment. This entry-level position requires strong communication skills, attention to detail, and a commitment to delivering a positive patient experience.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC004876 ORBG - Patient Access

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

40

Work Shift

Job Description

As a Front Office Patient Representative II, you will be the primary point of contact for our valued patients, ensuring their clinic experience is
smooth and satisfying. Your responsibilities will encompass accurate registration, scheduling, insurance verification, and exceptional
customer service. Additionally, you will be involved in physical chart management, including discharging charts, to maintain efficient and
organized recordkeeping. Flexibility is crucial, as front office and back office team members may occasionally back-fill for each other based
on staffing and PTO, which may include travel between work centers.

Responsibilities:
1. Perform precise clinic registration of patients, including scheduling, authorization, and insurance verification, utilizing provided resources.
2. Collect co-payments and co-insurance at the time of service, adhering to MUSC policies.
3. Correct registration errors to prevent front-end denials and ensure accurate billing.

4. Provide excellent patient-focused customer service, effectively communicating with service delivery areas to maximize patient flow and
satisfaction.
5. Answer incoming phone calls, respond to voicemails, emails, and text messages promptly and professionally.
6. Assist in managing referrals and plan of care documentation, ensuring appropriate support for providing and billing services.
7. Schedule patient appointments according to department processes and guidelines, considering the plan of care and patient input.
8. Follow up with patients who are off the plan of care to ensure continuity of treatment.
9. Collect co-payments, co-insurance, and attempt to collect on bad debt, balancing the cash drawer as directed.
10. Provide estimates of patient responsible amounts and offer payment plan options as a courtesy to patients.
11. Gather and validate required registration data, obtain necessary forms and signatures.
12. Verify insurance coverage and benefits for visits, ensuring accurate billing information.
13. Assist in physical chart management, including discharging charts and maintaining organized recordkeeping.
14. Maintain a clean, organized, and welcoming environment for patients and visitors.

Additional Job Description

Bachelor’s degree from an accredited college/university; or a high school diploma or equivalent (GED) and two years of work experience in a Medical Office, Call Center, and/or customer service business environment and a minimum of 6 months satisfactory work experience in MUHA Patient Access, or at least 6 months of medical related work experience is required.

Physical Requirements: Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands. (Continuous) Ability to perform fine manipulation with fingers and hands. (Continuous) Ability to reach overhead. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to use lower extremities for balance and coordination. (Frequent) Ability to reach in all directions. (Continuous) Ability to lift and carry 50 lbs. unassisted. (Infrequent) Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36" to overhead 25 lbs. (Infrequent) Ability to exert up to 50 lbs. of force. (Frequent) Examples include: To transfer a 100 lb. patient that can not assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force is needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force is required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to deal effectively with stressful situations. (Continuous) Ability to work rotating shifts. (Frequent) Ability to work overtime as required. (Frequent) Ability to work in a latex safe environment. (Continuous) Ability to maintain tactile sensory functions. (Continuous) (Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees