Patient Access Representative II - PRN

Conifer Health Solutions • Worcester, MA

81d • $19 - $28

About The Position

Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.

Requirements

• High School Diploma or GED required
• 0 - 1 year in a Customer Service role
• 0 - 1 year administrative experience in medical facility, health insurance, or related area preferred
• Some college coursework is preferred
• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of PC/CRT/printer
• Knowledge of function and relationships within a hospital environment preferred
• 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
• Understanding of Third-Party Payor requirements preferred
• Understanding of Compliance standards preferred
• Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department

Nice To Haves

• Experience in a medical facility
• Knowledge of medical terminology and insurance cards

Responsibilities

• Greeting patients 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
• Scans Protected Health Information
• Creates and files patient information packets/folders for upcoming Hospital services
• Assists with scheduling diagnostic procedures
• Educates patients about patient financial liabilities
• Employs proper, compliant patient liability collection techniques
• Performs Hospital cash reconciliation & secured payment entry
• Secures medical necessity checks/verification
• 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
• Assists with scheduling and coordinating post discharge care for patients

Benefits

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) - min of 12 days per year
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program
• Employee discount program
• Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance

What This Job Offers

• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED