Patient Access Representative II

Conifer Health Solutions•Birmingham, AL

13d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through 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 provides customer service, completes registrations, handles required legal forms and patient information, verifies insurance and medical necessity, processes authorizations and financial-clearance work, and may assist with diagnostic scheduling and post-discharge care coordination. The position is based at Princeton Medical Center and is part-time PRN, with rotating day shifts. Work hours and days may vary according to departmental and system demands.

Requirements

High school diploma or GED required.
0–1 year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of PC, CRT, and printer equipment.
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 perform essential job duties in accordance with applicable vaccination and screening requirements before employment, as permitted by law.
Must be available to work hours and days as needed based on departmental and 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 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 demographic information.
Follow financial and cash-control policies and procedures, including hospital cash reconciliation and secure payment entry.
Explain and obtain required hospital and patient legal forms, such as advance directives, conditions of service, consent for treatment, Medicare notices, 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 scheduling data, provide appointment instructions, and perform related tasks as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect payments before, during, and after service.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration financial-clearance work-list activities, obtain insurance 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.
Work in at least two Patient Access service areas, including the Emergency Department.
Use professional negotiation techniques to collect amounts owed by patients or guarantors.
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.
Resolve issues involving physician offices and patients.