Patient Access Representative II |Immanuel - PT2Y, Days

Trane Technologies•Omaha, NE

4d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing functions that may include scheduling, registration, patient pre-admission and admission, reception, and discharge. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The representative welcomes customers in accordance with Conifer Standards of Care, provides customer service, completes patient registration, and follows financial and cash-control procedures. Duties include explaining and securing required hospital and patient legal forms, scanning protected health information, and preparing patient information packets for upcoming hospital services. The representative may assist with scheduling diagnostic procedures and providing appointment instructions. The role educates patients about financial liabilities; performs cash reconciliation and secured payment entry; verifies medical necessity, insurance, benefits, coverage, and eligibility; completes financial-clearance work-list activities; obtains authorizations; and secures inpatient visit notifications to payors. The representative may also help coordinate post-discharge care. The position is based in hospital administration and may involve work in patient-care locations with potential exposure to life-threatening patient conditions. Availability is required for hours and days according to departmental or system demands.

Requirements

High school diploma or GED.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of a PC, CRT, and printer.
Customer-service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Course in medical terminology required.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must be available to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment activity, as applicable and permitted by law.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
Some college coursework.
0–1 year of administrative experience in a medical facility, health insurance, or related area.

Responsibilities

Welcome customers in accordance with Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain accurate patient demographic information.
Follow financial and cash-control policies and procedures, including hospital cash reconciliation and secured payment entry.
Explain and secure required hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Medicare notices, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
Assist with scheduling diagnostic procedures, entering information into scheduling systems, and providing appointment instructions, as needed.
Educate patients about their financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Complete medical-necessity checks and verify insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration and financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care, as needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve issues raised by physicians' offices and patients.