Patient Access Representative II

Conifer Health Solutions•Tucson, AZ

10d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing 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 services. The representative provides customer service, completes registrations, explains and secures required legal and hospital forms, scans protected health information, and prepares patient information packets. The position may also support diagnostic procedure scheduling and coordination of post-discharge care. The role verifies medical necessity, insurance, benefits, coverage, and eligibility; obtains authorizations and inpatient visit notifications; completes assigned financial-clearance work; and follows financial and cash-control procedures, including cash reconciliation and payment entry. Employees must be able to perform essential duties in at least two Patient Access service areas, including the Emergency Department, and be available to work hours and days as departmental or system demands require. The assigned work location is 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 position requires a high school diploma or GED. Candidates may be required, as applicable and permitted by law, to provide confirmation of required vaccinations and screenings before employment begins.

Requirements

High school diploma or GED required.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of PCs, CRTs, and printers.
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 use appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Availability to work hours and days as needed based on departmental or system demands.
Candidates, as applicable and as permitted by law, must obtain and provide confirmation of required vaccinations and screenings before employment begins.

Nice To Haves

0–1 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 in accordance with Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain complete, accurate patient demographic information.
Follow financial and cash-control policies and procedures.
Explain and secure required hospital and patient legal forms, such as 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.
Assist with scheduling diagnostic procedures, enter data in scheduling systems, and provide appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after service.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies.
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.
Assist with scheduling and coordinating post-discharge care when needed.
Resolve issues raised by physician offices and patients.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.