Patient Access Representative III - Main Admitting

Conifer Health Solutions•Phoenix, AZ

2d•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency at Abrazo Central Campus by performing patient registration, pre-admission and admission, reception, and discharge functions. The role arranges requested hospital support services through referrals and may assist with scheduling diagnostic or surgical procedures and conducting physician office or patient interviews. It explains hospital procedures and policies. The representative provides customer service and patient financial counseling, explains and obtains required legal forms, scans protected health information, and prepares patient information packets. The role verifies medical necessity, insurance, benefits, coverage, and eligibility; obtains authorizations and inpatient visit notifications; completes financial clearance activities; and uses compliant collection practices. It also reconciles hospital cash and enters secured payments in accordance with financial controls. The role analyzes admission, discharge, and transfer (ADT) and revenue-cycle reports, leads Patient Access operations during the shift, and collaborates with department leaders on process and operational excellence. It may involve resolving physician-office and patient issues and working amid high patient volumes or uncooperative patients.

Requirements

High school diploma or GED.
2–4 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, including the Emergency Department.
Ability to use appropriate negotiation techniques to collect money owed by patients or guarantors professionally.
Ability to build and maintain collaborative relationships with internal and external clients.
Must provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law; these may include COVID-19 and influenza vaccinations.
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.
At least 2 years of Patient Access experience.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and follow financial and cash-control policies.
Explain and obtain 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 and conduct physician-office or patient interviews.
Explain hospital procedure guidelines and policies.
Provide patient financial counseling, education, and referrals.
Complete patient-liability collection escalations using proper, compliant collection 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.
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 notifications 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 as required to meet departmental or system demands.