Patient Access Lead Representative - St. Elizabeth

Patient Access Lead Representative - St. Elizabeth

Demonstrates knowledge of departmental financial clearance and displays Patient Access leadership skills to lead a wide range of duties in support of departmental efficiencies, which may include arranging support Hospital services requested by patients through referrals, performing thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, driving team performance accountability, leading shift Patient Access Operations, and collaborating with Department leaders in process and operational excellence.

• Greeting customers following Conifer Standards of Care, providing world‑class customer service, completing full patient registration at date of service, adhering to financial & cash control policies & procedures, thoroughly explaining and securing Hospital & patient legal forms (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, schedule diagnostic and/or surgical procedures, conduct physician office/patient interviews, explain hospital procedure guidelines and policies, and coordinate with clinical departments on schedule modifications.
• Providing full patient financial counseling, education & referrals, employing and completing all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service, performing Hospital cash reconciliation & securing payment entry in adherence to financial & cash control policies & procedures.
• Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services, verifying insurance, benefits, coverage & eligibility, completing assigned registration financial clearance work lists activities, obtaining insurance authorizations for scheduled & unscheduled Hospital services, and securing inpatient visit notification to payors.
• Performing thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, completing departmental operational reports based on team performance accountability, leading shift Patient Access Operations, and collaborating with Department leaders in process and operational excellence.

• Minimum typing skills of 35 wpm
• High level working knowledge of all software, programs and equipment, including PCs
• Knowledge of function and relationships within a hospital environment 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 cross‑trained in all patient access service areas
• Uses proper negotiation techniques to professionally collect money owed by our patients/guarantors
• Builds and maintains collaborative relationships with internal and external clients that lead to more effective communication and a higher level of productivity and accuracy
• Identifies opportunities to improve patient relations and shorten the time it takes to handle registration processes

• High School Diploma or GED required
• 2‑4 year college degree in Business, Accounting, Medical Administration or related area preferred
• 2‑4 years experience in medical facility, health insurance, or related area
• 3‑5 years experience in Patient Access preferred
• 1‑2 years in supervisory or lead role preferred

• Must be able to sit at 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

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