Patient Access Representative III - Fri-Sun

Patient Access Representative III - Fri-Sun 2p-10p

Job Summary: Responsible for a wide range of duties in support of departmental efficiencies, including performing registration, pre‑admission and admission, reception and discharge functions, arranging and coordinating additional hospital services requested by patients through referrals, performing thorough analysis of admission, discharge and transfer (ADT) data, reviewing revenue cycle reports, leading shift Patient Access Operations, and collaborating with department leaders to drive process and operational excellence.

• Greeting patients following Conifer Standards of Care, providing world‑class customer service, completing full patient registration at the time of service, adhering to financial & cash control policies and procedures, thoroughly explaining and securing hospital and patient legal forms (i.e., Advance Directives, Conditions of Services, Consent for Treatment, Important Message from Medicare, EMTALA, etc.), scanning protected health information, creating and filing patient information packets/folders for upcoming services, and assisting with scheduling diagnostic or surgical procedures.
• Providing full patient financial counseling, education and referrals, employing and completing all patient liability collection escalations through compliant techniques before, during, and after the date of service, performing hospital cash reconciliation and secured payment entry in adherence to financial and cash control policies.
• Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid Services, verifying insurance, benefits, coverage and eligibility, completing assigned registration financial clearance work‑list activities, obtaining insurance authorizations for scheduled and unscheduled hospital services, and securing inpatient visit notifications to payors.
• Performing thorough analysis of admission, discharge and transfer (ADT) data, reviewing revenue cycle reports, leading shift Patient Access Operations, and collaborating with department leaders in process and operational excellence.

• Minimum typing speed of 35 words per minute.
• Demonstrated working knowledge of relevant software, systems, equipment and PCs.
• Knowledge of hospital functions and relationships within the healthcare environment (preferred).
• Advanced customer service skills and experience.
• Ability to work in a fast‑paced environment.
• Ability to receive and convey detailed information orally and in writing.
• Advanced understanding of third‑party payer requirements (preferred).
• Advanced understanding of compliance standards (preferred).
• Advanced patient liability collection performance and high productivity.
• Must be able to perform essential duties in at least three Patient Access service areas, including ED.
• Uses proper negotiation techniques to professionally collect money owed by patients/guarantors.
• Builds and maintains collaborative relationships with internal and external clients for effective communication and higher productivity and accuracy.

• 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 is preferred.

• Must be able to sit at computer terminal for extended periods.
• Occasionally lift or carry items weighing up to 25 lbs.
• Frequent prolonged standing, sitting, and walking.
• Occasionally push a wheelchair to assist patients with mobility problems.

• Hospital administration.
• Can work in patient care locations which include potential exposure to life‑threatening patient conditions.

• Must be available to work hours and days as needed based on departmental/system demands.
• Resolves physician office and patient issues. May experience extreme patient volumes and uncooperative patients.

• Associate

• Part‑time

• Health Care Provider
• Hospitals and Health Care and Medical Practices

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Conifer will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Conifer participates in the E‑Verify program.