Patient Access Representative III- East Cooper Medical Center

Conifer Health Solutions•Mount Pleasant, SC

13d

About The Position

JOB SUMMARY Responsible for a wide range of duties in support of departmental efficiencies which may include but not limited to performing registration, patient pre-admission and admission, reception and discharge functions, arranging support Hospital services requested by patients through referrals, performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explains hospital procedure guidelines and policies. Provides full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures. Secures medical necessity checks/verification in accordance to Centers for Medicare and Medicare services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. Performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be available to work hours and days as needed based on departmental/system demands. Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

Requirements

Minimum typing skills of 35 wpm
Demonstrated working knowledge of software/system/equipment/PCs
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
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
High School Diploma or GED required
2-4 years experience in medical facility, health insurance, or related area
2+ years in Patient Access preferred

Nice To Haves

Knowledge of function and relationships within a hospital environment preferred
Advance Customer service skills and experience
Advanced Understanding of Third Party Payor requirements preferred
Advanced Understanding of Compliance standards preferred
Advanced Patient Liability Collection performance and high achievement in productivity.
Some college coursework is preferred

Responsibilities

Greeting patients following Conifer Standards of Care
Provides world-class customer service
Completes full patient registration at date of service adheres to financial & cash control policies & procedures
Thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.)
Scan Protected Health Information
Create and file patient information packets/folders for upcoming Hospital services
May also assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explains hospital procedure guidelines and policies
Provides full patient financial counseling, education & referrals
Employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service
Performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
Secures medical necessity checks/verification in accordance to Centers for Medicare and Medicare services
Verifies insurance, benefits, coverage & eligibility
Completes assigned registration financial clearance work lists activities
Obtains insurance authorizations for scheduled & unscheduled Hospital services
Secures inpatient visit notification to payors
Performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports
Leads shift Patient Access Operations
Collaborates with Department leaders in process and operational excellence