Patient Access Representative II - Outpatient

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, and after the date of service.

Responsibilities

• Greet patients following Conifer Standards of Care, provide world-class customer service, and complete full patient registration at the 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 and employ proper, compliant patient liability collection techniques before, during, and after the date of service.
• 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 both internal and external clients to enhance communication, productivity, and accuracy.
• 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 words per minute.
• 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.

Qualifications

• 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 is preferred.

Physical Demands

• Must be able to sit at a computer terminal for extended periods of time.
• Resolve 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.
• Must be available to work hours and days as needed based on departmental/system demands.

Pay

Pay: $25.00 - $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 include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.