Patient Access Representative II

Conifer Health Solutions•Phoenix, AZ

1d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing 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 services. Responsibilities include greeting patients according to Conifer Standards of Care, completing registrations, explaining and obtaining required legal forms, and handling protected health information. The representative may schedule diagnostic procedures and coordinate post-discharge care. The role also verifies medical necessity, insurance, benefits, coverage, and eligibility; obtains authorizations and inpatient visit notifications; completes financial-clearance work; educates patients about financial liabilities; and handles payment entry and cash reconciliation in accordance with applicable policies. The position is based at Abrazo Central Campus and is scheduled Wednesday through Saturday, 6 a.m. to 6 p.m. The work takes place in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions. The employee must be available to work hours and days as needed based on departmental or system demands.

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.
Must be able to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to professionally collect money owed by patients or guarantors using proper negotiation techniques.
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.
Must be able to sit at a computer terminal for extended periods, frequently stand, sit, and walk for prolonged periods, occasionally lift or carry items up to 25 pounds, and occasionally push a wheelchair.
Must be available to work hours and days as needed based on departmental or system demands.

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 following Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain accurate patient demographic information.
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 data in 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 service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control policies.
Secure 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.
Resolve physician-office and patient issues and maintain collaborative relationships with internal and external clients.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Work hours and days as needed based on departmental or system demands.