Patient Access Representative II

About the role

Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.

Essential Duties And Responsibilities

• Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures 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.
• May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).
• Edicates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
• Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
• May also assist with scheduling and coordinating post discharge care for patients.

Knowledge, Skills, Abilities

• 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

Physical Demands

• Sit at computer terminal for extended periods of time
• Solves Physician's office and Patient issues
• May experience extreme patient volumes and uncooperative Patients
• Frequent prolonged standing, sitting, and walking
• Occasional lifting/carrying items weighing up to 25 lbs
• 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