Patient Access Representative II

Conifer Health Solutions•Tucson, AZ

10d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through scheduling, registration, pre-admission and admission, reception, and discharge functions. The role gathers complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after service. The position is based at Carondelet St. Joseph's Hospital. The schedule includes Thursday 1:30 a.m.–7 a.m. and Thursday–Saturday 7 p.m.–7 a.m.; three to five weeks of Monday–Friday day-shift training are required before moving to the night shift. The representative greets patients, completes registration, handles required hospital and patient forms, scans protected health information, and prepares patient information packets. The role also explains financial responsibilities, processes payments, verifies medical necessity and insurance coverage, obtains authorizations and payer notifications, and may assist with diagnostic scheduling and coordinating post-discharge care. The employee must be able to perform duties in at least two Patient Access service areas, including the Emergency Department, and must be available to work hours and days as departmental or system needs require. The position requires a high school diploma or GED and 0–1 year of customer service experience. Medical-facility, health-insurance, or related administrative experience and some college coursework are preferred. Work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions. The role involves prolonged computer work, standing, sitting, and walking; occasional lifting or carrying up to 25 pounds; and occasionally pushing a wheelchair. Candidates may be required, as applicable and permitted by law, to provide confirmation of required vaccinations and screenings before starting employment. The posting mentions a competitive benefits package but does not specify individual benefits.

Requirements

High school diploma or GED required.
0–1 year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated 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 proper negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Ability to meet the described physical demands, with reasonable accommodations where applicable.
As applicable and permitted by law, provide confirmation of required vaccinations and screenings before employment starts.

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 a related area.
Some college coursework.

Responsibilities

Greet patients in accordance with Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain complete, accurate patient demographic information.
Follow financial and cash-control policies and procedures; perform hospital 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.
As needed, assist with scheduling diagnostic procedures, enter information in the scheduling system, and provide appointment instructions.
Educate patients about financial liabilities and use compliant techniques to collect amounts owed before, during, and after service.
Secure medical-necessity checks and verification 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.
As needed, assist with scheduling and coordinating post-discharge care.
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.
Be available to work hours and days as needed based on departmental or system demands.