Patient Access Representative II - Dayshift MetroWest

Conifer Health Solutions•Framingham, MA

10d•$19 - $29•Onsite

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. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 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 (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 assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). Educates patients about patient financial liabilities, employs 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 & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: http://www.uscis.gov/e-verify The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

Requirements

Minimum typing skills of 35 wpm
Demonstrated working knowledge of PC/CRT/printer
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 able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
High School Diploma or GED required
0 - 1 year in a Customer Service role

Nice To Haves

Knowledge of function and relationships within a hospital environment preferred
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
0 - 1 year administrative experience in medical facility, health insurance, or related area preferred
Some college coursework is preferred

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 (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 assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed)
Educates patients about patient financial liabilities
employs 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 & Medicaid services
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
May also assist with scheduling and coordinating post discharge care for patients
Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department
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
Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care

Benefits

Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
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 include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance

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