Patient Access Representative Main Admitting

Conifer Health Solutions•El Paso, TX

3d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing patient scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The representative provides customer service, completes patient registration, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The position may also support scheduling diagnostic procedures and coordinating post-discharge care. Financial responsibilities include verifying insurance and medical necessity, obtaining authorizations and payer notifications, educating patients about financial liabilities, and completing payment entry and cash reconciliation in accordance with applicable policies. The role requires working in at least two Patient Access service areas, including the Emergency Department. Work is at the Hospitals of Providence East Campus, with day shifts Monday through Friday and rotating weekends. Spanish is required. The representative must also be available to work hours and days as needed based on departmental or system demands.

Requirements

Spanish language ability is required.
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 PC, CRT, and printer equipment.
Customer service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and express detailed information through oral and written communication.
Ability to professionally collect money owed by patients or guarantors using proper negotiation techniques.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment, 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 a 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.
Follow financial and cash control policies and procedures.
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, entering information in the scheduling system and providing appointment instructions as needed.
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 secured payment entry in accordance with financial and cash control policies.
Complete medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility; complete assigned 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.
Resolve physician office and patient issues and build collaborative relationships with internal and external clients.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Work in at least two Patient Access service areas, including the Emergency Department.