Patient Access Representative III

Conifer Health Solutions•Glendale, AZ

2d•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency through patient registration, pre-admission and admission, reception, discharge, and arranging requested hospital support services through referrals. The role performs patient financial counseling and registration, insurance and medical-necessity verification, authorization and notification tasks, and analysis of admission-discharge-transfer (ADT) and Revenue Cycle reports. The representative leads shift Patient Access Operations and collaborates with department leaders on process and operational excellence. The position is based at Abrazo Arrowhead Campus and is scheduled Monday through Friday, 5 a.m. to 11 a.m. Employees must also be available to work other hours and days as needed based on departmental and system demands. Conifer may require confirmation of applicable vaccinations and screenings before employment, as permitted by law.

Requirements

High school diploma or GED required.
2–4 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 PCs.
Advanced customer-service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Advanced patient-liability collection performance and high productivity.
Ability to perform essential duties in at least three Patient Access service areas, including the emergency department.
Ability to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of applicable required vaccinations and screenings before employment, as permitted by law.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.
At least 2 years of Patient Access experience.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and comply with financial and cash-control procedures.
Explain and obtain required hospital and patient legal forms, including applicable advance directives, conditions of service, consent for treatment, Medicare notices, and EMTALA documentation.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
As needed, assist with scheduling diagnostic or surgical procedures, conduct physician-office and patient interviews, and explain hospital procedure guidelines and policies.
Provide patient financial counseling, education, and referrals; use compliant collection techniques to address patient liabilities before, during, and after the date of service.
Reconcile hospital cash and enter secured payments in accordance with financial and cash-control procedures.
Check medical necessity in accordance with applicable Centers for Medicare & Medicaid Services requirements; verify insurance, benefits, coverage, and eligibility.
Complete assigned registration financial-clearance work-list activities, obtain authorizations for scheduled and unscheduled hospital services, and secure inpatient visit notifications to payors.
Analyze admission-discharge-transfer (ADT) and Revenue Cycle reports.
Lead shift Patient Access Operations and collaborate with department leaders on process and operational excellence.
Perform essential job duties in at least three 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 effective communication, productivity, and accuracy.
Resolve physician-office and patient issues.