Patient Access Representative III

Conifer Health Solutions•United States,

1d•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency by performing patient registration, pre-admission and admission, reception, and discharge functions; arranging hospital support services through referrals; analyzing admission, discharge, and transfer (ADT) and Revenue Cycle reports; leading shift Patient Access Operations; and collaborating with department leaders on process and operational excellence. The role provides patient-facing service and financial counseling, completes registration and financial-clearance activities, and helps ensure compliance with hospital, payer, and financial-control requirements. The position is based at Harper Hutzel Hospital and is scheduled for a day shift, Monday through Friday, with rotating weekends. Employees must also be available to work hours and days as needed based on departmental and system demands. The work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED.
Two to four years of experience in a medical facility, health insurance, or a related area.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of software, systems, equipment, and personal computers.
Advanced customer-service skills and experience.
Ability to work in a fast-paced environment and communicate detailed information orally and in writing.
Advanced patient-liability collection performance and high achievement in productivity.
Ability to perform essential job duties in at least three Patient Access service areas, including the emergency department.
Ability to work hours and days as needed based on departmental and system demands.
Obtain and provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law.
Ability to sit at a computer terminal for extended periods, frequently stand, sit, and walk for prolonged periods, occasionally lift or carry up to 25 pounds, and occasionally push a wheelchair to assist patients with mobility problems.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.
Two or more years of Patient Access experience.
Some college coursework.

Responsibilities

Greet patients in accordance with Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service, adhere to financial and cash-control policies, explain and obtain required hospital and patient legal forms, scan protected health information, and prepare patient information packets or folders for upcoming services.
Assist with scheduling diagnostic or surgical procedures, conduct physician-office or patient interviews, and explain hospital procedure guidelines and policies as needed.
Provide patient financial counseling, education, and referrals; use compliant collection techniques to address patient liabilities before, during, and after the date of service; and perform cash reconciliation and secure payment entry.
Complete medical-necessity checks and verification; verify insurance, benefits, coverage, and eligibility; complete assigned financial-clearance work lists; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notifications to payors.
Analyze ADT and Revenue Cycle reports, lead shift Patient Access Operations, and collaborate with department leaders on process and operational excellence.
Perform essential duties in at least three Patient Access service areas, including the emergency department.
Use appropriate negotiation techniques to collect amounts owed by patients or guarantors.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve physician-office and patient issues.