Patient Access Representative II - Imaging

Conifer Health Solutions•Royal Palm Beach, FL

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after services. The position works in hospital administration and may work in patient care locations where exposure to life-threatening patient conditions is possible. Responsibilities also include verifying insurance, benefits, coverage, and eligibility; obtaining authorizations and inpatient visit notifications; completing financial-clearance work; explaining and securing patient and hospital forms; scanning protected health information; and handling payment entry and cash reconciliation. The representative may assist with scheduling diagnostic procedures and coordinating post-discharge care. The role requires availability to work hours and days as needed based on departmental or system demands.

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 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 professional negotiation techniques to collect patient or guarantor payments.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Must provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.

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 related area.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain accurate demographic information.
Explain and secure hospital and patient legal forms, including 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.
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 according to 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 financial-clearance work-list activities; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients.
Work in at least two Patient Access service areas, including the Emergency Department.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve issues raised by physicians’ offices and patients.