Patient Access Representative II - ED

Location and Shift Information

Working location: THOP Sierra Campus. Rotating shifts covering days, evenings, nights, and weekends. Spanish language required. Must be able to work all shifts; schedule is provided five weeks in advance.

Responsibilities

• Greet patients following Conifer Standards of Care and provide world‑class customer service.
• Complete full patient registration at date of service, obtaining complete and accurate demographic information.
• Adhere to financial and cash control policies; explain and secure hospital and patient legal forms (Advance Directives, Conditions of Service, Consent for Treatment, Medicare messages, EMTALA, etc.).
• Scan protected health information and create/file patient information packets/folders for upcoming services.
• Assist with scheduling diagnostic procedures, entering data in the scheduling system and providing appointment instructions.
• Educate patients about financial liabilities and employ compliant patient liability collection techniques before, during, and after service.
• Perform hospital cash reconciliation and secure payment entry per financial policies.
• Secure medical necessity checks/verification per CMS, verify insurance benefits, coverage, eligibility, and complete registration financial clearance work lists.
• Obtain insurance authorizations for scheduled and unscheduled hospital services and notify payors of inpatient visits.
• Assist with scheduling and coordinating post‑discharge care for patients.

Knowledge, Skills, and Abilities

• Minimum typing speed of 35 wpm.
• Working knowledge of PC, CRT, and printer.
• Understanding of hospital environment functions and relationships (preferred).
• Strong customer service skills and experience.
• Ability to work in a fast‑paced environment.
• Effective oral and written communication of detailed information.
• Understanding of third‑party payer requirements (preferred).
• Understanding of compliance standards (preferred).
• Ability to perform duties in at least two Patient Access service areas, including the Emergency Department.
• Use proper negotiation techniques to collect patient/guarantor payments.
• Build and maintain collaborative relationships with internal and external clients.
• Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
• Ability to meet required vaccinations and screenings as applicable.

Education and Experience

• High School Diploma or GED (required).
• 0–1 year experience in a customer service role.
• 0–1 year administrative experience in a medical facility, health insurance, or related area (preferred).
• Some college coursework (preferred).

Physical Demands

Must be able to sit at a computer terminal for extended periods, stand, walk, and occasionally lift or carry items up to 25 lb. May need to push a wheelchair to assist patients with mobility problems. Frequent prolonged standing, sitting, and walking are required.

Work Environment

Work is performed in hospital administration and patient‑care locations, which may include exposure to life‑threatening patient conditions. Must be available to work hours and days as needed based on departmental and system demands.

Company Overview

Conifer Health, part of the Tenet and Catholic Health Initiatives family, brings 30 years of healthcare industry expertise to clients in more than 135 regions nationwide. The company helps clients strengthen financial and clinical performance, transition from volume‑to‑value care, enhance the consumer and patient experience, and improve quality, cost, and access to healthcare.