Patient Access Representative III - ER

Conifer Health Solutions•Glendale, AZ

1d•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency through patient registration, pre-admission and admission, reception and discharge, arranging requested hospital support services, and conducting thorough 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 representative provides customer service, completes patient registration, explains and obtains required legal and financial forms, and scans protected health information. Duties also include patient financial counseling and education, compliant collection of patient liabilities, cash reconciliation and payment entry, medical necessity verification, insurance and eligibility verification, financial clearance activities, obtaining authorizations, and notifying payors of inpatient visits. The representative may assist with procedure scheduling and interviews with physician offices and patients. The position is based at Abrazo Arrowhead Campus, with a stated schedule of Sunday through Wednesday, 12 p.m. to 12 a.m. The work takes place in hospital administration and may include patient care locations with potential exposure to life-threatening patient conditions. The employee must be available for hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED required.
Two to four years of experience in a medical facility, health insurance, or 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 achievement in productivity.
Ability to perform essential job duties in at least three Patient Access service areas.
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.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.
Ability to sit at a computer terminal for extended periods, frequently stand, sit, and walk, occasionally lift or carry up to 25 pounds, and occasionally push a wheelchair.

Nice To Haves

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

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 obtain required 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 secured 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 work-list activities.
Obtain insurance 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.
Work hours and days as needed based on departmental or system demands.