Patient Access Representative II

Conifer Health Solutions•Detroit, MI

4d•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 obtains complete and accurate patient demographic information and uses compliant methods to collect patient liabilities before, during, and after the date of service. Work hours are evenings, 3 p.m. to 11 p.m., at Detroit Receiving Hospital. The representative greets patients in accordance with Conifer Standards of Care, provides customer service, completes registrations, handles hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role also supports financial clearance, insurance verification and authorization, medical necessity checks, payment entry and cash reconciliation. Depending on departmental needs, the representative may assist with diagnostic scheduling and coordinating post-discharge care. Candidates must be able to perform the essential duties satisfactorily, including work in at least two Patient Access service areas, one of which must be the Emergency Department. Required vaccinations and screenings may need to be confirmed before employment, as applicable and permitted by law. The position is based in hospital administration and may involve working in patient-care locations with potential exposure to life-threatening patient conditions.

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 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 appropriately interpret physician orders, medical terminology, and insurance cards.
Must meet applicable vaccination and screening requirements before starting employment, as permitted by law.

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 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.
Follow financial and cash-control policies and procedures.
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 information in the scheduling system, and providing appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies and procedures.
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 notification to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve issues raised by physician offices and patients.
Work in at least two Patient Access service areas, including the Emergency Department.
Be available to work hours and days as needed based on departmental or system demands.