Patient Access Representative II - ED

Working Location: Valley Baptist Brownsville

Schedule

• Rotating Shift ER (Days, Evenings, Nights and weekends)
• Must be able to work all shifts
• Must be available to work hours and days as needed based on departmental/system demands

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 (e.g., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA)
• Scanning Protected Health Information, creating and filing patient information packets/folders for upcoming Hospital services
• Assisting with scheduling diagnostic procedures (enters data in scheduling system, provides 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
• Securing inpatient visit notification to payors
• Assisting with scheduling and coordinating post discharge care for patients
• Using proper negotiation techniques to professionally collect money owed by patients/guarantors
• Building and maintaining collaborative relationships with both internal and external clients
• Interpreting physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care
• Resolving physician's office and patient issues

Requirements

• 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
• 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 be fluent in Spanish
• 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
• Communication (oral and written)
• Typing (minimum 35 wpm)
• PC/CRT/printer operation
• Interpreting physician orders and medical terminology
• Understanding of insurance cards and third-party payor requirements
• Financial and cash control policies and procedures
• Patient liability collection techniques
• Insurance verification, benefits, coverage, and eligibility
• Securing insurance authorizations and inpatient visit notifications
• Negotiation techniques for collecting payments
• Relationship building with internal and external clients

Physical Demands

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

Work Environment

• Hospital administration
• Patient care locations which include potential exposure to life-threatening patient conditions