Patient Access Representative II

Work Location: Princeton Medical Center

Schedule

Monday - Thursday 7:30AM-5:00PM, Friday 7:30AM-12:00PM

Responsibilities

• Greeting 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 explaining and securing Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.).
• Scanning Protected Health Information, creating and filing patient information packets/folders for upcoming Hospital services.
• Assisting with scheduling diagnostic procedures (entering data in scheduling system, providing customer with appointment instructions, other tasks as needed).
• Educating patients about patient financial liabilities, employing proper, compliant patient liability collection techniques before, during & after date of service.
• Performing Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
• Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services.
• Verifying insurance, benefits, coverage & eligibility.
• Completing assigned registration financial clearance work lists activities.
• Obtaining insurance authorizations for scheduled & unscheduled Hospital services, and securing inpatient visit notification to payors.
• Assisting with scheduling and coordinating post discharge care for patients.
• Performing essential job duties in at least two Patient Access service areas including Emergency Department.
• Using proper negotiation techniques to professionally collect money owed by patients/guarantors.
• Building and maintaining collaborative relationships with both internal and external clients to enhance communication and productivity.
• Interpreting physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.

Requirements

• High School Diploma or GED required.
• 0 – 1 year in a Customer Service role.
• 0 – 1 year administrative experience in a medical facility, health insurance, or related area preferred.
• Some college coursework is preferred.
• Minimum typing skills of 35 wpm.
• 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.
• Must obtain complete and accurate patient demographic information.
• Must be able to appropriately interpret physician orders, medical terminology, and insurance cards.
• As applicable and as permitted by law, candidates must obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment (e.g., COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings).

Skills

• Customer service and experience in a healthcare setting.
• Strong communication skills, both oral and written.
• Ability to work collaboratively with internal and external clients.
• Proficiency in using computers and related technology (PC/CRT/printer).
• Understanding of medical terminology and physician orders.
• Knowledge of insurance verification, benefits, and coverage.
• Compliance with financial and cash control policies and procedures.

Physical Demands

• Must be able to sit at a computer terminal for extended periods of time.
• Ability to resolve physician's office and patient issues.
• May experience extreme patient volumes and uncooperative patients.
• Occasionally lift/carry items weighing up to 25 lbs.
• Frequent prolonged standing, sitting, and walking.
• Occasionally push a wheelchair to assist patients with mobility problems.

Work Environment

• Hospital administration and patient care locations which include potential exposure to life-threatening patient conditions.
• Must be available to work hours and days as needed based on departmental/system demands.