Patient Access Representative II

Conifer Health Solutions•Goodyear, AZ

4d•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 accurate patient demographic information, provides customer service, and uses compliant methods to collect patient liabilities before, during, and after service. It is based at Abrazo Buckeye Emergency Center in Buckeye, Arizona, with a stated schedule of Wednesday through Saturday, 11 a.m. to 11 p.m. The representative completes patient registration, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role verifies medical necessity, insurance, benefits, coverage, and eligibility; obtains authorizations and inpatient visit notifications; completes financial clearance activities; explains patient financial responsibilities; and performs cash reconciliation and payment entry. The representative may also help schedule diagnostic procedures and coordinate post-discharge care. The position requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. The work takes place in hospital administration and patient care locations, where there may be exposure to life-threatening patient conditions. Candidates, where applicable and permitted by law, must provide confirmation of required vaccinations and screenings before starting employment.

Requirements

High school diploma or GED.
Zero to one year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
Working knowledge of PCs, CRTs, and printers.
Customer service skills and experience.
Ability to work in a fast-paced environment 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 while maintaining Conifer Standards of Care.
Ability to work hours and days as needed based on departmental or system demands.
Provide confirmation of required vaccinations and screenings before employment where applicable and permitted by law.

Nice To Haves

Zero to one year of administrative experience in a medical facility, health insurance, or a related area.
Some college coursework.
Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.

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.
Explain and secure 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.
Verify medical necessity, insurance, benefits, coverage, and eligibility.
Complete assigned registration and financial clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control policies.
Assist with scheduling diagnostic procedures, entering scheduling information, and providing appointment instructions, as needed.
Assist with scheduling and coordinating post-discharge care, as needed.
Resolve physician-office and patient issues and maintain collaborative relationships with internal and external clients.