Patient Access Representative III

About the role

Work Location: Walker Medical Center
Shift Information: Monday-Friday 7:00am-3:30pm

Responsibilities

• Greeting patients following Conifer Standards of Care, providing world-class customer service
• Completes full patient registration at date of service, adhering to financial & cash control policies & procedures
• Thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.)
• Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services
• May also assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies
• Provides full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service
• Performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
• Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicare services, verifies insurance, benefits, coverage & eligibility
• Completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors
• Performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence

Qualifications

• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of software/system/equipment/PCs
• Knowledge of function and relationships within a hospital environment preferred
• Advanced 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
• Advanced Understanding of Third Party Payor requirements preferred
• Advanced Understanding of Compliance standards preferred
• Advanced Patient Liability Collection performance and high achievement in productivity
• Must be able to perform essential job duties in at least three Patient Access service areas including ED
• 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