Patient Access Representative II

Conifer Health Solutions•Detroit, MI

4d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing functions such as scheduling, registration, pre-admission and admission, reception, and discharge. The role obtains complete and accurate patient demographic information and uses appropriate, compliant techniques to collect patient liabilities before, during, and after services. The representative greets patients and provides customer service, completes registrations, explains and secures required hospital and patient legal forms, scans protected health information, and creates and files patient information packets. The role may also assist with scheduling diagnostic procedures and coordinating post-discharge care. Additional duties include educating patients about financial liabilities, reconciling hospital cash and entering secured payments, checking medical necessity, verifying insurance and eligibility, completing financial-clearance worklists, obtaining authorizations, and notifying payors of inpatient visits. The position is based at Detroit Receiving Hospital, with listed work hours of 3 p.m. to 11 p.m. The work takes place in hospital administration and may involve patient-care locations where life-threatening patient conditions are present. Employees must be available to work hours and days as needed based on departmental and system demands. Required vaccinations and screenings may apply before employment, as permitted by law.

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 job 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 build and maintain collaborative relationships with internal and external clients.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must be able to meet the physical demands of the role, including extended computer-terminal use, frequent prolonged standing, sitting, and walking, occasional lifting or carrying items up to 25 pounds, and occasional wheelchair pushing.
Must be available to work hours and days as needed based on departmental and system demands.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and 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 when needed, including 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 the date of service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control policies.
Complete 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 worklist 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 when needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve physician-office and patient issues and maintain collaborative relationships with internal and external clients.
Work hours and days as needed based on departmental and system demands.