Patient Access Representative II - ED

About the role

Responsible for duties in support of departmental efficiencies which may include: 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.

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)
• Educates 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
• Secures inpatient visit notification to payors
• May also assist with scheduling and coordinating post discharge care for patients

Qualifications

• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of PC/CRT/printer
• 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
• 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
• Builds 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

Education and experience

• 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 computer terminal for extended periods of time
• Resolves 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

Schedule

Wed-Sat 7AM-7PM

Location

St Luke's Baptist