Patient Access Representative II

Conifer Health Solutions•Detroit, MI

5d•Onsite

About The Position

This is a part-time position in the OP Registration department, working a day shift. The schedule is Week 1: Monday, Tuesday, Thursday, Friday, and Week 2: Monday, Tuesday, Thursday. The Patient Access Representative II is responsible for various duties to support departmental efficiencies, including scheduling, registration, patient pre-admission and admission, reception, and discharge functions. A key aspect of the role is obtaining complete and accurate patient demographic information and employing proper, compliant patient liability collection techniques before, during, and after the date of service. The position requires greeting patients according to Conifer Standards of Care, providing excellent customer service, completing full patient registration, and adhering to financial and cash control policies. Responsibilities also include explaining and securing legal hospital and patient forms, scanning Protected Health Information, and creating patient information packets. Additionally, the role may involve assisting with scheduling diagnostic procedures, educating patients on financial liabilities, performing cash reconciliation, and securing payment entry. Medical necessity checks, insurance verification, completing registration financial clearance work lists, obtaining insurance authorizations, and securing inpatient visit notifications are also part of the duties. The role may also assist with scheduling and coordinating post-discharge care.

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
0 – 1 year administrative experience in medical facility, health insurance, or related area 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
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