Patient Access Representative II

Conifer Health Solutions•Goodyear, AZ

5d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role gathers complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The position is based at Abrazo Buckeye Emergency Center in Buckeye, Arizona, with a stated schedule of Wednesday through Saturday, 11 a.m. to 11 p.m. The representative provides customer service, completes patient registration, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. Duties also include financial counseling and payment collection, cash reconciliation, insurance and eligibility verification, medical necessity checks, authorizations, and financial clearance activities. The representative may assist with diagnostic scheduling and coordinating post-discharge care. The role requires the ability to work in at least two Patient Access service areas, including the Emergency Department, and to interpret physician orders, medical terminology, and insurance cards while following Conifer Standards of Care. Employment is contingent on obtaining and providing confirmation of required vaccinations and screenings, as applicable and permitted by law.

Requirements

High school diploma or GED.
Zero to one 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 express detailed information through oral and written communication.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use proper negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law.

Nice To Haves

Knowledge of hospital functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
Zero to one 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 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, enter information into the scheduling system, and provide appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect patient payments before, during, and after the date of service.
Perform hospital cash reconciliation and secure 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 work-list 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 as needed.
Work in at least two Patient Access service areas, including the Emergency Department.
Build and maintain collaborative relationships with internal and external clients to support communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Be available to work hours and days as needed based on departmental and system demands.