Patient Access Representative III - Outpatient

Conifer Health Solutions•Glendale, AZ

1d•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency at Abrazo Arrowhead Campus by handling patient access and financial clearance activities. Duties include patient registration, pre-admission and admission, reception and discharge, arranging requested hospital support services through referrals, analyzing admission-discharge-transfer (ADT) and revenue cycle reports, leading shift Patient Access Operations, and working with department leaders on process and operational excellence. The role provides customer service in accordance with Conifer Standards of Care; completes registrations and legal forms; scans protected health information; and prepares patient information packets. The representative may assist with procedure scheduling and patient or physician-office interviews. The position also provides financial counseling and education, performs compliant patient-liability collection and cash reconciliation, verifies medical necessity and insurance coverage, completes financial-clearance work lists, obtains authorizations, and notifies payors of inpatient visits. The position is based in a hospital administration environment and may involve work in patient-care locations with potential exposure to life-threatening patient conditions. The employee must be available to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED.
2–4 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 productivity achievement.
Ability to perform essential job duties in at least three Patient Access service areas, including the emergency department.
Ability to use professional negotiation techniques to collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients.
Must provide confirmation of required vaccinations and screenings before employment begins, as applicable and 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 in Patient Access.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration, pre-admission and admission, reception, and discharge functions.
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.
Arrange hospital support services requested by patients through referrals.
Assist with scheduling diagnostic or surgical procedures and conduct physician-office or patient interviews as needed.
Explain hospital procedure guidelines and policies.
Provide patient financial counseling, education, and referrals.
Use compliant collection techniques to complete patient-liability collection escalations before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies.
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-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.