Patient Access Representative
Responsible for duties in support of departmental efficiencies which may include : but not limited to 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 & after date of service.
Essential Duties And Responsibilities Include The Following. Others May Be Assigned.
- Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres 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 procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).
- Educates patients about patient financial liabilities, employs 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 & Medicaid 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. May also assist with scheduling and coordinating post discharge care for patients.
Knowledge, Skills, Abilities
Minimum typing skills of 35 wpmDemonstrated working knowledge of PC / CRT / printerKnowledge of function and relationships within a hospital environment preferredCustomer service skills and experienceAbility to work in a fast paced environmentAbility to receive and express detailed information through oral and written communicationsUnderstanding of Third Party Payor requirements preferredUnderstanding of Compliance standards preferredMust 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.Builds 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.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.
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 preferredSome college coursework is preferredPhysical Demands
Must be able to sit at computer terminal for extended periods of time.Resolves 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 administrationCan work in patient care locations which include potential exposure to life-threatening patient conditions.Other
Must be available to work hours and days as needed based on departmental / system demands.Compensation and Benefit Information
Compensation
Pay : $19.02-$28.53 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
Conifer offers the following benefits, subject to employment status :
Medical, dental, vision, disability, and life insurancePaid time off (vacation & sick leave) min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.401k with up to 6% employer match10 paid holidays per yearHealth savings accounts, healthcare & dependent flexible spending accountsEmployee Assistance program, Employee discount programVoluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.