Patient Access Representative II

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.

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
• 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

Requirements

• 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

• Some college coursework is preferred
• 0 - 1 year administrative experience in medical facility, health insurance, or related area preferred

Benefits

• Competitive benefits package