Patient Access Representative III - ER

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, referrals to hospital services, and analysis of admission, discharge, and transfer (ADT) and revenue-cycle reports. The role 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 Sunday through Wednesday, 12 p.m. to 12 a.m. The representative greets patients and provides customer service, completes registration and required legal forms, scans protected health information, prepares patient information packets, and may assist with scheduling procedures and interviewing patients or physician offices. The role provides financial counseling and education, collects patient liabilities using compliant techniques, and completes cash reconciliation and payment entry. It also verifies medical necessity, insurance, benefits, coverage, and eligibility; completes financial-clearance worklists; obtains authorizations; and notifies payors of inpatient visits. The role requires advanced customer-service and patient-liability collection capabilities, the ability to work in a fast-paced environment, and the ability to perform essential duties in at least three Patient Access service areas, including the Emergency Department. Candidates must meet applicable vaccination and screening requirements before employment. 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.
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 express detailed information through oral and written communication.
Advanced patient-liability collection performance and high productivity achievement.
Ability to perform essential job duties in at least three Patient Access service areas, including the Emergency Department.
Ability to use proper negotiation techniques to collect money owed by patients or guarantors professionally.
Ability to build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Must meet applicable required vaccination and screening requirements before starting employment.
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.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.
Two or more years of experience in Patient Access.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service while following financial and cash-control policies and procedures.
Explain and secure hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Important Message from Medicare, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
May assist with scheduling diagnostic or surgical procedures, conducting physician-office or patient interviews, and explaining hospital procedure guidelines and policies.
Provide patient financial counseling, education, and referrals.
Complete patient-liability collection escalations using proper, compliant techniques before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies and procedures.
Verify medical necessity, insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance worklists; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notification to payors.
Analyze admission, discharge, and transfer (ADT) and revenue-cycle reports.
Lead shift Patient Access Operations and collaborate with department leaders on process and operational excellence.
Resolve physician-office and patient issues.