Patient Access Representative II - Rehab

Conifer Health Solutions•West Palm Beach, FL

1d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency at St Mary's Medical Center by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The representative greets patients in accordance with Conifer Standards of Care, provides customer service, completes registrations, explains and secures required hospital and patient forms, scans protected health information, and prepares patient information packets. The role may also assist with scheduling diagnostic procedures and coordinating post-discharge care. Financial and insurance responsibilities include explaining patient financial liabilities, reconciling hospital cash and recording secured payments, checking medical necessity, verifying insurance benefits and eligibility, completing financial-clearance work lists, obtaining authorizations, and notifying payors of inpatient visits. The representative must perform essential duties in at least two Patient Access service areas, including the Emergency Department. The position is based in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
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 professionally collect money owed by patients or guarantors using appropriate negotiation techniques.
Ability to interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Must provide confirmation of required vaccinations and screenings before starting 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 related area.
Some college coursework.

Responsibilities

Perform scheduling, registration, pre-admission and admission, reception, and discharge functions.
Obtain complete and accurate patient demographic information.
Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and follow financial and cash-control policies.
Explain and obtain required hospital and patient legal forms, including applicable consent and Medicare forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
Assist with scheduling diagnostic procedures, entering data in 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 service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control procedures.
Check medical necessity; verify insurance, benefits, coverage, and eligibility; and complete assigned financial-clearance work lists.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notification to payors.
Assist with scheduling and coordinating post-discharge care when needed.
Resolve issues raised by physician offices and patients, and maintain collaborative relationships with internal and external clients.
Perform essential job duties in at least two Patient Access service areas, including the Emergency Department.