Patient Access Lead Representative

Conifer Health Solutions•El Paso, TX

17h•Onsite

About The Position

The Patient Access Lead Representative leads shift-level Patient Access operations and supports departmental efficiency, financial clearance, team accountability, and operational excellence. The role provides patient registration and customer service, handles financial counseling and payment collection, verifies insurance and medical necessity, obtains authorizations, and coordinates with clinical departments, physician offices, patients, and department leaders. The position is based at THOP Sierra Off Campus Imaging Center and is full-time days; Spanish is required. The role also analyzes admission, discharge, and transfer (ADT) and Revenue Cycle reports, prepares operational reports, and identifies opportunities to improve patient relations and registration efficiency. The employee may schedule diagnostic or surgical procedures, conduct interviews, explain hospital procedures and policies, and provide scheduling support as departmental needs require.

Requirements

High school diploma or GED.
Two to four years of experience in a medical facility, health insurance, or a related area.
Minimum typing speed of 35 words per minute.
High-level working knowledge of software, programs, and equipment, including PCs.
Advanced customer-service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Advanced patient-liability collection performance and high productivity achievement.
Must be cross-trained in all Patient Access service areas.
Ability to use appropriate negotiation techniques to collect money owed by patients or guarantors professionally.
Ability to build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Ability to identify opportunities to improve patient relations and reduce registration processing time.
Must be available to work hours and days as needed based on departmental or system demands, and to provide on-call scheduling support when required.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

Two- to four-year college degree in Business, Accounting, Medical Administration, or a related area.
Knowledge of functions and relationships within a hospital environment.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.
Three to five years of Patient Access experience.
One to two years in a supervisory or lead role.

Responsibilities

Greet customers according to Conifer Standards of Care and provide world-class customer service.
Complete full patient registration at the date of service and follow financial and cash control policies and procedures.
Explain and obtain required hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Important Message from Medicare, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
Schedule diagnostic and/or surgical procedures when applicable; conduct physician office and patient interviews; explain hospital procedure guidelines and policies.
Coordinate schedule modifications with clinical departments.
Provide patient financial counseling, education, and referrals.
Use compliant patient-liability collection techniques and complete collection escalations before, during, and after the date of service.
Reconcile hospital cash and securely enter payments in accordance with financial and cash control policies.
Perform medical-necessity checks and verification in accordance with Centers for Medicare and Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; complete assigned financial-clearance work-list activities; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notification to payors.
Analyze ADT and Revenue Cycle reports and complete departmental operational reports based on team performance accountability.
Lead shift Patient Access operations and collaborate with department leaders on process and operational excellence.
Resolve physician office and patient issues.
Provide on-call scheduling support when required and work hours and days as needed based on departmental or system demands.