Patient Access Representative II

Conifer Health Solutions•West Palm Beach, FL

1d•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 obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The representative greets patients, provides customer service, completes patient registrations, explains and secures required legal and hospital forms, and scans protected health information. The role may also support diagnostic procedure scheduling and post-discharge care coordination. Financial and insurance responsibilities include explaining patient liabilities, processing payments, verifying medical necessity and insurance coverage, completing financial clearance work lists, obtaining authorizations, and notifying payors of inpatient visits. The position is based at St Mary's Medical Center. The scheduled shift is Thursday through Saturday, 7 p.m. to 7:30 a.m., following 4–5 weeks of Monday-through-Friday day-shift training. The employee must also be available to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED.
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 duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use appropriate negotiation techniques when collecting money owed by patients or guarantors.
Must be able to interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
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.
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 complete, accurate patient demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secure payment entry.
Explain and secure 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 into 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.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration financial-clearance work-list activities, obtain authorizations for scheduled and unscheduled hospital services, and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
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 involving physician offices and patients.