Patient Access Representative II

Conifer Health Solutions•Tucson, AZ

5d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing scheduling, registration, pre-admission and admission, reception, and discharge functions. 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 greets patients according to Conifer Standards of Care, provides customer service, completes patient registration, explains and obtains required hospital and patient legal forms, and scans protected health information. The role may also assist with scheduling diagnostic procedures and coordinating post-discharge care. Financial and clearance duties include explaining patient liabilities, reconciling hospital cash, verifying medical necessity and insurance coverage, completing financial clearance work lists, obtaining authorizations, and notifying payors of inpatient visits. This position is based at Carondelet St. Joseph's Hospital. The stated schedule is Sunday through Tuesday, 7 p.m. to 7 a.m., and Wednesday, 8 p.m. to 1:30 a.m. Employees must be available to work hours and days as needed based on departmental or system demands. The work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED required.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of 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.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use professional negotiation techniques to collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law; examples may include COVID-19 and influenza vaccinations.
Ability to sit at a computer terminal for extended periods; frequently stand, sit, and walk for prolonged periods; occasionally lift or carry up to 25 pounds; and occasionally push a wheelchair.
Ability to work in hospital administration and potentially in patient-care locations where exposure to life-threatening patient conditions may occur.

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 customer-service experience.
0–1 year of administrative experience in a medical facility, health insurance, or a related area.

Responsibilities

Greet patients according to 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.
Explain and obtain 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, as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies and procedures.
Secure medical-necessity checks or verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility.
Complete assigned registration financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notification to payors.
Assist with scheduling and coordinating post-discharge care for patients, as needed.
Resolve physician-office and patient issues.
Maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Work the hours and days needed based on departmental or system demands.