Patient Access Representative II

Working Location: Palm Beach Gardens Medical Center

Schedule

• Sunday, Monday, and Tuesday
• 7:00 AM – 7:30 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 (i.e., 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
• 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
• Perform essential job duties in at least two Patient Access service areas including Emergency Department
• 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

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
• 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 comply with vaccination and screening requirements, including COVID-19 and influenza vaccinations, as applicable and permitted by law

Physical Demands

• Must be able to sit at a computer terminal for extended periods of time
• Resolve Physician's office and Patient issues, potentially dealing with 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