Patient Access Representative II

About the role

Working Location: Florida Coast Medical Center
Shift Information: Fri - Sat 7p - 7a primary/ Also needs to be flexible to cover PTO shifts as needed

Responsibilities

• Greet patients following Conifer Standards of Care, providing world-class customer service, completing full patient registration at date of service, adhering to financial & cash control policies & procedures.
• Thoroughly explain and secure Hospital & patient legal forms (e.g., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.).
• Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services.
• Aid in scheduling diagnostic procedures (enter data in scheduling system, provide appointment instructions, other tasks as needed).
• Inform patients about patient financial liabilities, employ proper, compliant patient liability collection techniques before, during & after date of service.
• Perform Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
• Secure medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verify insurance, benefits, coverage & eligibility, complete assigned registration financial clearance work lists activities, obtain insurance authorizations for scheduled & unscheduled Hospital services, and secure inpatient visit notification to payors.
• Assist with scheduling and coordinating post discharge care for patients.

Requirements

• Demonstrated working knowledge of PC/CRT/printer
• Knowledge of function and relationships within a hospital environment preferred
• Customer service skills and experience
• Ability to work in a fast-paced environment
• Ability to receive and express detailed information through oral and written communications
• Understanding of Third Party Payor requirements preferred
• Understanding of Compliance standards preferred
• Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department
• Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
• Buils and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
• Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care

Qualifications

• High School Diploma or GED required
• 0 – 1 year in a Customer Service role
• 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
• Some college coursework is preferred

Skills

• Minimum typing skills of 35 wpm
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Benefits

Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare.

Pay

Competitive benefits package and leadership to take your career to the next step!

Schedule

As needed based on departmental/system demands.