Patient Access Representative II

Conifer Health Solutions•Detroit, MI

2d•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 the date of service. Responsibilities include greeting patients and providing customer service, completing patient registrations, explaining and obtaining required hospital and patient legal forms, scanning protected health information, and preparing patient information packets. The representative may assist with scheduling diagnostic procedures and coordinating post-discharge care. The role also educates patients about financial liabilities, processes payments, reconciles cash, verifies insurance and medical necessity, obtains authorizations and inpatient notifications, and completes financial-clearance work-list activities. The position is based at Detroit Receiving Hospital and is listed as full time, evenings, 3 p.m.–11 p.m. The work takes place in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions. The representative must be available to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED required.
Minimum typing speed of 35 words per minute.
Working knowledge of PC, CRT, and printer use.
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 collect money owed by patients or guarantors.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of required vaccinations and screenings before employment starts, as applicable and permitted by law.
Must be able to sit at a computer terminal for extended periods, frequently stand, sit, and walk for prolonged periods, occasionally lift or carry items up to 25 pounds, and occasionally push a wheelchair.
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.
Zero to one 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 complete, accurate demographic information.
Follow financial and cash-control policies and procedures.
Explain and obtain required 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 enter secured payments 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 and 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 physicians' offices and patients.
Work hours and days as needed based on departmental or system demands.