This Patient Access Representative II opening is a night-shift, rotating-weekend position based in Hardeeville, SC, embedded within a hospital environment that demands both front-line customer service excellence and working knowledge of insurance, registration, and compliance workflows. The role spans at least two Patient Access service areas — including the Emergency Department — making it a high-visibility, fast-paced position for a candidate who thrives on variety and direct patient interaction. Hardeeville sits in the Lowcountry of South Carolina, offering a compelling lifestyle at a fraction of the cost of nearby Hilton Head Island and Savannah, GA.

Perks and Benefits

Competitive benefits package as part of a large, nationally recognized healthcare organization with operations in more than 135 local regions
Career development resources and leadership pathways within a broad hospital and revenue-cycle network
Vaccination and screening support provided in accordance with applicable law prior to start of employment
Reasonable accommodations provided for qualified individuals with disabilities
E-Verify participating employer — supports candidates with work authorization documentation needs

Practice Highlights

Night shift schedule: 7:00 PM – 7:00 AM with rotating weekend coverage
Cross-functional role covering at least two Patient Access service areas, with required competency in the Emergency Department
Full patient registration at point of service: demographic capture, insurance verification, benefits and eligibility confirmation, and authorization procurement for both scheduled and unscheduled hospital services
Execution of all required legal and compliance forms at registration: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA documentation
Medical necessity checks and verification in accordance with CMS guidelines; inpatient visit notification to payors
Patient liability education and compliant point-of-service, pre-service, and post-service collections using proper negotiation techniques; hospital cash reconciliation and secured payment entry
Scheduling support for diagnostic procedures: data entry into scheduling system, patient appointment instruction, and coordination of post-discharge care
Scanning and management of Protected Health Information (PHI); creation and filing of patient information packets for upcoming services
Collaborative interface with physician offices, internal clinical teams, and external insurance payors to resolve registration and financial clearance issues
Exposure to high patient volumes and acute care conditions, including potential life-threatening patient situations in patient care locations

Qualifications

High School Diploma or GED required; some college coursework preferred
0–1 year of customer service experience; 0–1 year of administrative experience in a medical facility, health insurance, or related field preferred
Minimum typing speed of 35 words per minute
Demonstrated proficiency with PC, CRT terminal, and printer operation
Ability to interpret physician orders, medical terminology, and insurance cards accurately
Working knowledge of third-party payor requirements and healthcare compliance standards preferred
Ability to perform essential duties across at least two Patient Access service areas, including the Emergency Department
Availability to work hours and days as needed based on departmental and system demands, including nights and rotating weekends
Ability to sit at a computer terminal for extended periods; occasional lifting up to 25 lbs; occasional wheelchair assistance for patients with mobility needs

About the Community

Hardeeville is a growing city in Jasper County, South Carolina, positioned in the heart of the Lowcountry just minutes from Hilton Head Island's beaches and approximately 30 miles from the historic city of Savannah, Georgia. The area offers a notably low cost of living compared to its coastal neighbors, with easy access to world-class golf, waterways, and outdoor recreation. Families are drawn to the region's warm climate, expanding residential communities, and proximity to both South Carolina and Georgia amenities — making it an attractive destination for healthcare professionals seeking a relaxed coastal lifestyle without sacrificing urban convenience.