Patient Access Representative Main Admitting

Conifer Health Solutions•El Paso, TX

15h•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through 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 position is based at The Hospitals of Providence East Campus, on a day shift, with a Monday–Friday schedule and rotating weekends. Spanish is required. The representative greets patients, provides customer service, completes registrations, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets for upcoming services. The role may also assist with scheduling diagnostic procedures and coordinating post-discharge care. The representative educates patients about financial liabilities, collects and reconciles payments according to financial and cash-control procedures, verifies medical necessity and insurance coverage, completes financial-clearance work, obtains authorizations, and notifies payors of inpatient visits. Employees must be available to work hours and days as needed based on departmental or system demands. Required vaccinations and screenings, as applicable and permitted by law, must be confirmed before employment starts.

Requirements

High school diploma or GED.
Spanish language skills required.
Minimum typing speed of 35 words per minute.
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 duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use appropriate negotiation techniques to collect patient or guarantor balances.
Ability to build and maintain collaborative working relationships.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must meet applicable vaccination and screening requirements before employment starts, as permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.
0–1 year in a customer-service role.

Nice To Haves

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

Responsibilities

Greet patients and provide customer service in accordance with Conifer Standards of Care.
Complete patient registration at the date of service and obtain accurate demographic information.
Follow financial and cash-control policies and procedures, including payment entry and hospital cash reconciliation.
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.
Assist with scheduling diagnostic procedures by entering information in the scheduling system, providing appointment instructions, and completing related tasks as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Secure medical-necessity checks and verification in accordance with Centers for Medicare & 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 notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Use professional negotiation techniques when collecting money owed by patients or guarantors.
Build and maintain collaborative relationships with internal and external clients to support communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve physician-office and patient issues, including in situations involving high patient volumes or uncooperative patients.
Work hours and days as needed based on departmental or system demands.