Patient Access Representative III - Financial Counselor

Conifer Health Solutions•Mount Pleasant, SC

5d•Onsite

About The Position

The Patient Access Representative III - Financial Counselor supports departmental efficiency at Novant East Cooper Medical Center. The role performs patient registration, pre-admission and admission, reception, and discharge functions; arranges requested hospital support services through referrals; analyzes admission, discharge, and transfer (ADT) and revenue cycle reports; leads shift Patient Access Operations; and collaborates with department leaders on process and operational excellence. The representative provides customer service, completes registrations, explains and obtains required hospital and patient legal forms, and scans protected health information. The role may prepare patient information packets and assist with procedure scheduling and patient or physician-office interviews. It also provides financial counseling and education, collects patient liabilities using compliant techniques, reconciles hospital cash, verifies medical necessity and insurance coverage, completes financial-clearance worklists, obtains authorizations, and notifies payors of inpatient visits.

Requirements

High school diploma or GED.
Two to four years of experience in a medical facility, health insurance, or a related area.
Ability to type at least 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.
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, including the emergency department.
Ability to use appropriate negotiation techniques to collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients.
Availability to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

Knowledge of the functions and relationships within a hospital environment.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.
At least two years of Patient Access experience.
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 in accordance with financial and cash-control policies.
Explain and secure 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.
Assist with scheduling diagnostic or surgical procedures and conduct physician-office or patient interviews when needed.
Explain 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.
Secure medical-necessity checks and verification in accordance with Centers for Medicare and Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance worklists.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notification to payors.
Analyze 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.