Patient Access Representative II - ER

Working location: Hi-Desert Medical Center

Schedule

• Shift: 3 PM – 11:30 PM, with requirement to work other shifts as needed (days, evenings, nights, and weekends)
• Schedule known 5 weeks in advance

Responsibilities

• Perform duties in support of departmental efficiencies, including scheduling, registration, patient pre-admission and admission, reception, and discharge functions
• Obtain complete and accurate patient demographic information
• Employ proper, compliant patient liability collection techniques before, during, and after date of service
• Greet patients following Conifer Standards of Care, provide world-class customer service, and complete full patient registration at date of service
• Adhere to financial and cash control policies and procedures
• Thoroughly explain and secure hospital and patient legal forms (e.g., Advance Directives, Conditions of Services, Consent for Treatment, Important Message from Medicare, EMTALA)
• 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, and other tasks as needed)
• Educate patients about patient financial liabilities
• Perform hospital cash reconciliation and secured payment entry in adherence to financial and cash control policies and procedures
• Secure medical necessity checks/verification in accordance with Centers for Medicare & Medicaid Services
• Verify insurance, benefits, coverage, and eligibility
• Complete assigned registration financial clearance work list activities
• Obtain insurance authorizations for scheduled and unscheduled hospital services
• Secure inpatient visit notification to payors
• Assist with scheduling and coordinating post-discharge care for patients
• Use proper negotiation techniques to professionally collect money owed by patients/guarantors
• Build and maintain collaborative relationships with internal and external clients to enhance communication, productivity, and accuracy
• Appropriately interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care
• Perform essential job duties in at least two Patient Access service areas, including the Emergency Department

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 a medical facility, health insurance, or related area preferred
• Some college coursework preferred
• Must be able to perform essential job duties in at least two Patient Access service areas, including the Emergency Department
• 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)

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 and patient care locations, with potential exposure to life-threatening patient conditions
• Must be available to work hours and days as needed based on departmental/system demands

Pay

$24.00 - $28.50 per hour

• Shift differentials of $1.00 - $2.50 per hour may be available depending on the shift worked
• Conifer observed holidays receive time and a half

Benefits

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – minimum of 12 days per year, accrued at a rate of approximately 1.84 hours per 40 hours worked
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program
• Employee discount program
• Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance