Patient Access Representative II

Conifer Health Solutions•West Palm Beach, FL

1d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through patient 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 position is based at St Mary's Medical Center and works Wednesday through Friday from 7:00 p.m. to 7:30 a.m., following 4–5 weeks of required Monday–Friday day-shift training before moving to the night shift. The representative greets patients, provides customer service, completes registrations, explains and secures hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role also educates patients about financial liabilities; verifies insurance, benefits, coverage, and eligibility; checks medical necessity; obtains authorizations and inpatient visit notifications; and performs financial clearance and payment reconciliation tasks. Additional duties may include scheduling diagnostic procedures and coordinating post-discharge care. The role requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Work takes place in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions.

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.
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 meet applicable vaccination and screening requirements and provide confirmation before starting employment, as 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 at the date of service and obtain complete and accurate patient demographic information.
Follow financial and cash control policies and procedures.
Explain and secure 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, enter data in the scheduling system, provide appointment instructions, and perform related tasks as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect patient or guarantor payments 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 and 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 notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Build and 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.
Be available to work hours and days as needed based on departmental or system demands.