Patient Access Representative III - Financial Counselor

Conifer Health Solutions•Brownsville, TX

3d•Onsite

About The Position

This role is responsible for a wide range of duties to support departmental efficiencies, including registration, patient pre-admission and admission, reception and discharge functions, arranging hospital services requested by patients through referrals, performing thorough analysis of admission discharge transfers (ADT) and Revenue Cycle Reports, leading shift Patient Access Operations, and collaborating with Department leaders in process and operational excellence. The position requires strong customer service, financial counseling, and collection skills, as well as the ability to work in a fast-paced hospital environment. Fluency in Spanish is required.

Requirements

Minimum typing skills of 35 wpm
Demonstrated working knowledge of software/system/equipment/PCs.
Advanced 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
Advanced Patient Liability Collection performance and high achievement in productivity.
Must be able to perform essential job duties in at least three Patient Access service areas including ED
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.
Spanish Required

Nice To Haves

Knowledge of function and relationships within a hospital environment preferred
Advanced Understanding of Third Party Payor requirements preferred
Advanced Understanding of Compliance standards preferred
Some college coursework is preferred.

Responsibilities

Greeting patients following Conifer Standards of Care, providing world-class customer service, completing full patient registration at date of service, adhering to financial & cash control policies & procedures, thoroughly explaining and securing Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.).
Scanning Protected Health Information, creating and filing patient information packets/folders for upcoming Hospital services.
Assisting with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies.
Providing full patient financial counseling, education & referrals.
Employing and completing all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service.
Performing Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
Securing medical necessity checks/verification in accordance to Centers for Medicare & Medicare services.
Verifying insurance, benefits, coverage & eligibility.
Completing assigned registration financial clearance work lists activities.
Obtaining insurance authorizations for scheduled & unscheduled Hospital services.
Securing inpatient visit notification to payors.
Performing thorough analysis of admission discharge transfers (ADT) and Revenue Cycle Reports.
Leading shift Patient Access Operations.
Collaborating with Department leaders in process and operational excellence.
Resolving Physician's office and Patient issues.
Handling extreme patient volumes and uncooperative Patients.