Patient Access Representative II - Imaging

Conifer Health Solutions•Royal Palm Beach, FL

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through patient scheduling, registration, pre-admission and admission, reception, and discharge activities. The role obtains complete and accurate patient demographic information and uses compliant methods to collect patient liabilities before, during, and after the date of service. The representative greets patients and provides customer service, completes registrations, explains and obtains required legal and hospital forms, scans protected health information, and prepares patient information packets for upcoming services. The role may also schedule diagnostic procedures and provide appointment instructions. Additional duties include educating patients about financial responsibilities, processing and reconciling payments, verifying insurance and medical necessity, completing financial-clearance worklists, obtaining authorizations, and notifying payors of inpatient visits. The representative may assist with coordinating post-discharge care. The position is based at the listed Royal Palm Beach, Florida location and is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. The employee must be available to work hours and days as needed based on departmental or system demands. Required vaccinations and screenings may need to be obtained and confirmed before employment, as applicable and permitted by law.

Requirements

High school diploma or GED.
0–1 year in a customer service role.
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 express detailed information through oral and written communication.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use proper negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must meet required physical demands, including prolonged computer use, frequent standing, sitting, and walking, occasional lifting or carrying of items up to 25 pounds, and occasional wheelchair pushing.
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, 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.
0–1 year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration and obtain accurate demographic information.
Explain and secure required hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Important Message from Medicare, 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 the scheduling system and providing appointment instructions.
Educate patients about financial liabilities and use proper, compliant techniques to collect patient payments before, during, and after the date of service.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies.
Verify medical necessity, insurance, benefits, coverage, and eligibility.
Complete assigned registration financial-clearance worklist activities and obtain authorizations for scheduled and unscheduled hospital services.
Secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients.
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.