Patient Access Representative II

Conifer Health Solutions•West Palm Beach, FL

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 collects complete and accurate patient demographic information and uses appropriate, compliant methods to collect patient liabilities before, during, and after services. The position is based at St Mary's Medical Center and is scheduled Wednesday through Friday, 7 p.m. to 7:30 a.m. It requires four to five weeks of Monday-through-Friday daytime training before moving to the night shift. The representative provides patient-facing service and completes registration, financial clearance, insurance verification, authorization, and payment-related work. The role may also assist with diagnostic scheduling and coordinating post-discharge care. Employees must be available to work hours and days as needed based on departmental or system demands. Required vaccinations and screenings may apply before employment starts, as permitted by law.

Requirements

High school diploma or GED.
Zero to one year in a customer service role.
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 duties in at least two Patient Access service areas, including the Emergency Department.
Ability to professionally negotiate collection of money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Availability for the scheduled night shift after four to five weeks of weekday daytime training, and for other hours and days as departmental or system demands require.
Obtain and provide confirmation of required vaccinations and screenings before employment, where applicable and 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.
Zero to one year of administrative experience in a medical facility, health insurance, or a related area.
Some college coursework.

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, including cash reconciliation and secure payment entry.
Explain and obtain required hospital and patient legal forms, such as 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, as needed.
Educate patients about financial liabilities and use proper, compliant collection and negotiation techniques before, during, and after the date of service.
Check medical necessity 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, as needed.
Perform essential 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 communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve issues involving physician offices and patients.
Work hours and days as needed based on departmental or system demands.