Patient Access Representative II

Work Location: Alabama Regional Medical Center

Schedule

Monday–Friday, 8:00 AM – 4:30 PM

Responsibilities

• Greet patients following Conifer Standards of Care, provide world-class customer service, complete full patient registration at date of service, adhere 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).
• Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services.
• Assist with scheduling diagnostic procedures (enter data in scheduling system, provide customer with appointment instructions, other tasks as needed).
• Educate 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 with 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.
• Use proper negotiation techniques to professionally collect money owed by patients/guarantors.
• Build and maintain collaborative relationships with both internal and external clients to enhance communication, productivity, and accuracy.
• Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
• Perform essential job duties in at least two Patient Access service areas including the Emergency Department.

Requirements

• 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.
• 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.

Physical Demands

• Must be able to sit at a computer terminal for extended periods of time.
• 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.
• Can work in 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.

Benefits

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