Patient Access Representative III - Financial Counselor

Working Location: Carondelet Marana Emergency Center, 5620 West Cortaro Farms Rd., Tucson, AZ 85742

Schedule

Wednesday–Saturday, 6:00 PM – 6:00 AM

Responsibilities

• 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 or surgical procedures, conduct physician office/patient interviews, and explain hospital procedure guidelines and policies.
• Provide full patient financial counseling, education, and referrals.
• Employ and complete all patient liability collection escalations through compliant techniques before, during, and after 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.
• Perform thorough analysis of admission, discharge, and transfer (ADT) and Revenue Cycle Reports.
• Lead shift Patient Access Operations and collaborate with department leaders in process and operational excellence.
• 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.

Requirements

• High School Diploma or GED required.
• 2–4 years of experience in a medical facility, health insurance, or related area; 2+ years in Patient Access preferred.
• Some college coursework preferred.
• Minimum typing skills of 35 WPM.
• Demonstrated working knowledge of software, systems, equipment, and PCs.
• Knowledge of hospital environment and relationships 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 Emergency Departments.

Physical Demands

• Must be able to sit at a computer terminal for extended periods of time.
• 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, including potential exposure to life-threatening patient conditions.
• May experience extreme patient volumes and uncooperative patients.
• Must be available to work hours and days as needed based on departmental/system demands.
• Resolves physician office and patient issues.