Patient Access Representative Outpatient

Conifer Health Solutions•Nacogdoches, TX

2d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The representative greets patients according to Conifer Standards of Care, provides customer service, completes registrations, explains and obtains required legal forms, scans protected health information, and prepares patient information packets. The role may also schedule diagnostic procedures and coordinate post-discharge care. Additional responsibilities include verifying medical necessity, insurance, benefits, coverage, and eligibility; obtaining authorizations and inpatient notifications; completing financial-clearance work; educating patients about financial liabilities; and processing and reconciling payments according to applicable policies. The position is based at Nacogdoches Medical Center in Center, Texas. The stated schedule is Monday through Friday, days, with availability also required as needed based on departmental or system demands. The work takes place in hospital administration and may include patient-care locations where there is potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED required.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of a PC, CRT, and printer.
Customer-service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to professionally collect money owed by patients or guarantors using appropriate negotiation techniques.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must obtain and 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

Administrative experience in a medical facility, health insurance, or related area (0–1 year preferred).
Some college coursework preferred.
Knowledge of functions and relationships within a hospital environment preferred.
Understanding of third-party payor requirements preferred.
Understanding of compliance standards preferred.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain complete, accurate patient demographic information.
Perform scheduling, pre-admission and admission, reception, and discharge functions in support of departmental efficiency.
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 procedures, including entering information into the scheduling system and providing appointment instructions.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed 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.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve issues raised by physicians’ offices and patients.