Patient Access Representative III

Conifer Health Solutions•West Palm Beach, FL

1d•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency at Good Samaritan Medical Center by handling patient registration, pre-admission and admission, reception, and discharge functions. The role may arrange requested hospital support services through referrals and may assist with scheduling diagnostic or surgical procedures, interviewing patients and physician offices, and explaining hospital procedures and policies. The representative provides customer service and financial counseling, explains and secures required hospital and patient legal forms, scans protected health information, and prepares patient information packets. Responsibilities also include verifying medical necessity, insurance, benefits, coverage, and eligibility; obtaining authorizations and payor notifications; collecting patient liabilities; and completing cash reconciliation and payment entry in accordance with applicable policies and procedures. This role 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 position is based in a hospital administration environment and may involve working in 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.
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 professionally collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Must be available to work hours and days as needed based on departmental or system demands.
As applicable and permitted by law, must obtain and provide confirmation of required vaccinations and screenings before starting employment.

Nice To Haves

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

Responsibilities

Greet patients according to Conifer Standards of Care and provide world-class customer service.
Complete full patient registration at the date of service and follow 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.
Provide patient financial counseling, education, and referrals.
Use compliant patient-liability collection techniques and complete collection escalations 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 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.
May assist with scheduling diagnostic or surgical procedures, conducting physician-office and patient interviews, and explaining hospital procedure guidelines and policies.
Resolve physician-office and patient issues.