Patient Access Representative III - Wed-Sat 6p-6a

About the role

Responsible for a wide range of duties in support of departmental efficiencies which may include but not limited to performing registration, patient pre-admission and admission, reception and discharge functions, arranging support Hospital services requested by patients through referrals, performing thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, leading shift Patient Access Operations, and collaborating with Department leaders in process and operational excellence.

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.)
• Scans Protected Health Information, creates and files patient information packets/folders for upcoming Hospital services
• May also assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explains 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

Requirements

Minimum typing skills of 35 wpm
Demonstrated working knowledge of software/system/equipment/PCs
Knowledge of function and relationships within a hospital environment preferred
Advance 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

Qualifications

• High School Diploma or GED required
• 2-4 years experience in medical facility, health insurance, or related area
• 2+ years in Patient Access preferred
• Some college coursework is preferred

Skills

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
• Must be able to sit at computer terminal for extended periods of time
• Frequent prolonged standing, sitting, and walking
• Occasional lifting/carrying items weighing up to 25 lbs
• Requires availability to work hours and days as needed based on departmental/system demands
• Resolves Physician's office and Patient issues
• May experience extreme patient volumes and uncooperative Patients

Benefits

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.

Pay

Competitive benefits package and leadership to take your career to the next step!

Schedule

Must be available to work hours and days as needed based on departmental/system demands.