Entry-Level Patient Access Representative II - CHI Midlands

Conifer Revenue Cycle Solutions•Omaha, NE

6d•Onsite

About The Position

JOB SUMMARY Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures. Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients.

Requirements

Minimum typing skills of 35 wpm
Demonstrated working knowledge of PC/CRT/printer
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department
High School Diploma or GED required
0 - 1 year in a Customer Service role
0 - 1 year administrative experience in medical facility, health insurance, or related area preferred

Nice To Haves

Knowledge of function and relationships within a hospital environment preferred
Customer service skills and experience
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
Some college coursework is preferred

Responsibilities

Performing scheduling
Registration
Patient pre-admission and admission
Reception and discharge functions
Obtaining complete and accurate patient demographic information
Employing proper, compliant patient liability collection techniques before, during & after date of service
Greeting patients following Conifer Standards of Care
Providing world-class customer service
Completing full patient registration at date of service
Adhering to financial & cash control policies & procedures
Thoroughly explaining and securing Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.)
Scanning Protected Health Information
Creating and filing patient information packets/folders for upcoming Hospital services
Assisting with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed)
Educating patients about patient financial liabilities
Performing Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
Securing medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services
Verifying insurance, benefits, coverage & eligibility
Completing assigned registration financial clearance work lists activities
Obtaining insurance authorizations for scheduled & unscheduled Hospital services
Securing inpatient visit notification to payors
Assisting with scheduling and coordinating post discharge care for patients
Using proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
Building and maintaining collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
Appropriately interpreting physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
Obtaining and providing confirmation of all required vaccinations and screenings prior to the start of employment