Patient Access Representative II

Conifer Health Solutions•Mount Pleasant, SC

3d•Onsite

About The Position

This role is responsible for supporting departmental efficiencies through various tasks including scheduling, registration, patient pre-admission and admission, reception, and discharge functions. The representative must collect complete and accurate patient demographic information and employ proper, compliant patient liability collection techniques before, during, and after the date of service. The position requires dedicated paid training and no prior experience is necessary.

Requirements

Minimum typing skills of 35 wpm
Demonstrated working knowledge of PC/CRT/printer
Customer service skills and experience
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.

Nice To Haves

Knowledge of function and relationships within a hospital environment preferred
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
Some college coursework is preferred

Responsibilities

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 (entering data in scheduling system, providing customer with appointment instructions, other tasks as needed).
Educating patients about patient financial liabilities, employing proper, compliant patient liability collection techniques before, during & after date of service.
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, and 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 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.