Patient Access Representative II - Outpatient

Job Summary

Working Location: Nacogdoches Medical Center South Campus
Shift Information: Monday - Friday 7AM-3:30PM

Essential Duties And 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
• Scanning Protected Health Information, creating and filing patient information packets/folders for upcoming Hospital services
• Auxiliary duties such as scheduling diagnostic procedures, assisting with patient discharge, and coordinating post-discharge care
• 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 to 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, and securing inpatient visit notification to payors

Knowledge, Skills, Abilities

• 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
• Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
• Buils 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 / 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

• Sit at computer terminal for extended periods of time
• Resolves Physician's office and Patient issues
• May experience extreme patient volumes and uncooperative Patients
• Frequent prolonged standing, sitting, and walking
• Occasional lifting/carrying items weighing up to 25 lbs
• 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

Additional Information

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare.

Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!