Patient Access Representative II

Conifer Health Solutions•Birmingham, AL

4d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency at Princeton Medical Center by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role gathers complete and accurate demographic information and uses compliant techniques to collect patient liabilities before, during, and after services. Representatives provide customer service, complete registrations, explain and obtain required legal and hospital forms, scan protected health information, and prepare patient information packets. The position also supports insurance verification, financial clearance, medical necessity checks, authorizations, and inpatient notifications to payors. Additional duties may include scheduling diagnostic procedures and coordinating post-discharge care. The role requires work in at least two Patient Access service areas, including the Emergency Department, and availability based on departmental and system needs.

Requirements

High school diploma or GED.
0–1 year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
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 appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must meet applicable vaccination and screening requirements 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, accurate demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secure payment entry.
Explain and obtain 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, enter data in the scheduling system, and provide appointment instructions.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after service.
Perform medical necessity checks and 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.
Work 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.
Resolve issues raised by physician offices and patients.