Patient Access Representative Outpatient

Conifer Health Solutions•Nacogdoches, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through scheduling, registration, patient 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. It is based at Nacogdoches Medical Center in Center, Texas, with Monday–Friday day-shift information provided; availability to work hours and days as needed based on departmental or system demands is also required. The representative greets patients and provides customer service, completes registration, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role may also schedule diagnostic procedures and coordinate post-discharge care. It verifies insurance, benefits, coverage, eligibility, and medical necessity; obtains authorizations and inpatient visit notifications; completes registration financial-clearance activities; and follows financial and cash-control procedures, including payment entry and cash reconciliation. Work is performed in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions. The position requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department.

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 proper negotiation techniques.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before employment begins, as applicable and permitted by law.
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.
Understanding of third-party payor requirements.
Understanding of compliance standards.
0–1 year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

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.
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.
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 enter secured payments in accordance with financial and cash-control policies and procedures.
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 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 duties in at least two Patient Access service areas, including the Emergency Department.
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 involving physician offices and patients.