Patient Access Representative II - Part-time Dayshift
About The Position
JOB SUMMARY Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures. Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Requirements
- Minimum typing skills of 35 wpm
- Demonstrated working knowledge of PC/CRT/printer
- 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.
- Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
- Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy.
- Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.
- Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
- High School Diploma or GED required.
- 0 – 1 year in a Customer Service role.
- 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
Nice To Haves
- Knowledge of function and relationships within a hospital environment preferred
- Customer service skills and experience
- Understanding of Third-Party Payor requirements preferred
- Understanding of Compliance standards preferred
- Some college coursework is preferred
Responsibilities
- Greeting patients following Conifer Standards of Care
- Provides world-class customer service
- Completes full patient registration at date of service
- Adheres to financial & cash control policies & procedures
- Thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.)
- Scan Protected Health Information
- Create and file patient information packets/folders for upcoming Hospital services.
- May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).
- Educates patients about patient financial liabilities
- Employs proper, compliant patient liability collection techniques before, during & after date of service
- Performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
- Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services
- Verifies insurance, benefits, coverage & eligibility
- Completes assigned registration financial clearance work lists activities
- Obtains insurance authorizations for scheduled & unscheduled Hospital services
- Secures inpatient visit notification to payors.
- May also assist with scheduling and coordinating post discharge care for patients.
- Resolves Physician's office and Patient issues.
Benefits
- Conifer offers the following benefits, subject to employment status:
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
