Patient Access Representative II - Wed- Fri 7p-7:30a

Conifer Health Solutions•West Palm Beach, FL

15h•Onsite

About The Position

This position is responsible for various duties to support departmental efficiencies, including scheduling, registration, patient pre-admission and admission, reception, and discharge functions. The role requires obtaining complete and accurate patient demographic information and employing proper, compliant patient liability collection techniques. A significant part of the role involves explaining and securing hospital and patient legal forms, scanning Protected Health Information, and creating patient information packets. The representative will also educate patients on financial liabilities, perform cash reconciliation, and secure payment entries. Additionally, they will conduct medical necessity checks, verify insurance, benefits, coverage, and eligibility, complete financial clearance work lists, obtain insurance authorizations, and secure inpatient visit notifications. The role may also involve assisting with scheduling and coordinating post-discharge care. Please note that this position requires 4 weeks of M-F full-time day shift training before switching to the night shift.

Requirements

Minimum typing skills of 35 wpm
Demonstrated working knowledge of PC/CRT/printer
Customer service skills and experience
Ability to work in a fast-paced environment
Ability to receive and express detailed information through oral and written communications
Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department.
High School Diploma or GED required
0 – 1 year in a Customer Service role

Nice To Haves

Knowledge of function and relationships within a hospital environment preferred
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
Some college coursework is preferred
0 – 1 year administrative experience in medical facility, health insurance, or related area preferred

Responsibilities

Greeting patients following Conifer Standards of Care and providing world-class customer service.
Completing full patient registration at the date of service.
Adhering to financial and cash control policies and procedures.
Thoroughly explaining and securing Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.).
Scanning Protected Health Information and creating and filing patient information packets/folders for upcoming Hospital services.
Assisting with scheduling diagnostic procedures, including data entry, providing appointment instructions, and other related tasks.
Educating patients about patient financial liabilities and employing proper, compliant patient liability collection techniques.
Performing Hospital cash reconciliation and secured payment entry in adherence to financial & cash control policies & procedures.
Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services.
Verifying insurance, benefits, coverage & eligibility.
Completing assigned registration financial clearance work lists activities.
Obtaining insurance authorizations for scheduled & unscheduled Hospital services.
Securing inpatient visit notification to payors.
Assisting with scheduling and coordinating post discharge care for patients.
Using proper negotiation techniques to professionally collect money owed by patients/Guarantors.
Building and maintaining collaborative relationships with both internal and external Clients.
Appropriately interpreting physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.