Patient Access Representative II - West Boca Medical Center

Tenet Healthcare • Boca Raton, FL

370d

About The Position

The position is responsible for duties in support of departmental efficiencies, which may include performing scheduling, registration, patient pre-admission and admission, reception, and discharge functions. The representative must obtain complete and accurate patient demographic information and employ proper, compliant patient liability collection techniques before, during, and after the date of service.

Requirements

• High School Diploma or GED required.
• 0 - 1 year in a Customer Service role.
• 0 - 1 year administrative experience in a 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.
• Course in Medical Terminology required.
• 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 ED.
• Uses proper negotiation techniques to professionally collect money owed by Patients/Guarantors.
• Builds and maintains collaborative relationships with both internal and external Clients.

Nice To Haves

• Knowledge of Compliance standards preferred.
• Understanding of Third Party Payor requirements preferred.

Responsibilities

• Greeting customers following Conifer Standards of Care and providing world-class customer service.
• Completing full patient registration at the date of service and adhering to financial & cash control policies & procedures.
• Thoroughly explaining and securing Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.).
• Scanning Protected Health Information and creating and filing patient information packets/folders for upcoming Hospital services.
• Assisting with scheduling diagnostic procedures and entering data in the scheduling system.
• Educating patients about patient financial liabilities and employing proper, compliant patient liability collection techniques.
• Performing Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
• Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services.
• Verifying insurance, benefits, coverage & eligibility, and completing assigned registration financial clearance work lists activities.
• Obtaining insurance authorizations for scheduled & unscheduled Hospital services.
• Securing inpatient visit notification to payors and assisting with scheduling and coordinating post-discharge care for patients.

Benefits

• Competitive benefits package.
• Resources and incentives to redefine healthcare services.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees