Patient Access Representative II- Hilton Head

Patient Access Representative II - Hilton Head

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Job Summary

Responsible for duties in support of departmental efficiencies which may include 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.

• Greeting patients following Conifer Standards of Care, provide world-class customer service, complete full patient registration at date of service, adhere to financial & cash control policies & procedures, thoroughly explain and secure Hospital & patient legal forms (e.g., 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 (enter data in scheduling system, provide customer with appointment instructions, other tasks as needed).
• Educate patients about patient financial liabilities, employ proper, compliant patient liability collection techniques before, during & after date of service, perform Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
• Secure medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services, verify insurance, benefits, coverage & eligibility, complete assigned registration financial clearance work lists activities, obtain insurance authorizations for scheduled & unscheduled Hospital services, and secure inpatient visit notification to payors. May also assist with scheduling and coordinating post-discharge care for patients.

• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of PC/CRT/printer
• Knowledge of function and relationships within a hospital environment preferred
• 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
• Understanding of Third-Party Payor requirements preferred
• Understanding of Compliance standards preferred
• Must 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 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

Vaccinations
Conifer requires its candidates to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment, as permitted by law (e.g., COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings).

• 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 preferred
• Some college coursework is preferred

• Must be able to sit at computer terminal for extended periods
• 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

• Hospital administration
• Can work in patient care locations with potential exposure to life-threatening patient conditions

• Must be available 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

As part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30…