Patient Access Representative III

Conifer Health Solutions•West Palm Beach, FL

2h•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency through patient registration, pre-admission and admission, reception, discharge, and coordination of hospital services requested through referrals. The role performs detailed analysis of admission, discharge, and transfer (ADT) information and Revenue Cycle Reports, leads shift Patient Access Operations, and collaborates with department leaders on process and operational improvement. The position provides patient-facing registration and financial services, including explaining and securing hospital and patient legal forms, handling protected health information, verifying insurance and medical necessity, obtaining authorizations and payor notifications, and counseling patients about financial obligations. It also supports scheduling and patient or physician-office interviews as needed. The role is based at Good Samaritan Medical Center, with a stated Monday–Friday shift of 1:00 PM to 9:30 PM; additional availability may be required based on departmental or system demands.

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, including the Emergency Department.
Ability to use appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients.
Must meet applicable vaccination and screening requirements and provide confirmation before employment begins, as permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.

Nice To Haves

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

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.
As needed, assist with scheduling diagnostic or surgical procedures, conduct physician-office or patient interviews, and explain hospital procedure guidelines and policies.
Provide patient financial counseling, education, and referrals; use compliant techniques to collect patient liabilities before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies and procedures.
Complete 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 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) information 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.