Patient Access Lead Representative

Conifer Health Solutions•Birmingham, AL

1d•Onsite

About The Position

This role demonstrates knowledge of departmental financial clearance and displays Patient Access leadership skills to lead a wide range of duties in support of departmental efficiencies. This may include arranging support for hospital services requested by patients through referrals, performing thorough analysis of admission discharge transfers (ADT) and Revenue Cycle Reports, driving team performance accountability, leading shift Patient Access Operations, and collaborating with Department leaders in process and operational excellence. The position requires greeting customers following Conifer Standards of Care, providing world-class customer service, completing full patient registration at the date of service, adhering to financial & cash control policies & procedures, and thoroughly explaining and securing hospital & patient legal forms. It also involves scanning Protected Health Information, creating and filing patient information packets/folders, scheduling diagnostic and/or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies. The role coordinates with clinical departments on schedule modifications, provides full patient financial counseling, education & referrals, and completes all patient liability collection escalations through proper, compliant techniques. It also involves hospital cash reconciliation & secured payment entry, securing medical necessity checks/verification, verifying insurance, benefits, coverage & eligibility, completing assigned registration financial clearance work lists, obtaining insurance authorizations, and securing inpatient visit notifications. The role performs thorough analysis of ADT and Revenue Cycle Reports, completes departmental operational reports, and collaborates with Department leaders in process and operational excellence.

Requirements

Minimum typing skills of 35 wpm
High level working knowledge of all Software, programs and equipment, including PCs
Advance Customer service skills and experience
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
Must be crossed trained in all Patient Access service areas
High School Diploma or GED required
2 – 4 years experience in medical facility, health insurance, or related area
3– 5 years experience in Patient Access preferred
1 – 2 years in supervisory or lead role preferred

Nice To Haves

Knowledge of function and relationships within a hospital environment preferred
Advanced Understanding of Third Party Payor requirements preferred
Advanced Understanding of Compliance standards preferred
Advanced Patient Liability Collection performance and high achievement in productivity
2-4 year college degree in Business, Accounting, Medical Administration or related area preferred

Responsibilities

Greeting customers following Conifer Standards of Care, provides world-class customer service
Completes full patient registration at date of service adheres to financial & cash control policies & procedures
Thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.)
Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services
May also schedule diagnostic and/or surgical procedures, conducts physician office/patient interviews, and explains hospital procedure guidelines and policies
Coordinates with clinical departments on schedule modifications
Provides full patient financial counseling, education & referrals
Employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service
Performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
Secures medical necessity checks/verification in accordance to Centers for Medicare & CMS
Verifies insurance, benefits, coverage & eligibility
Completes assigned registration financial clearance work lists activities
Obtains insurance authorizations for scheduled & unscheduled Hospital services
Secures inpatient visit notification to payors
Performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports
Completes departmental operational reports based on team performance accountability
Leads shift Patient Access Operations
Collaborates with Department leaders in process and operational excellence
Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
Identifies opportunities to improve patient relations and shorten the time it takes to handle registration processes
Resolves Physician's office and Patient issues
Must be available to work hours and days as needed based on departmental/system demands
Must be available for on-call scheduling support when required