Patient Access Representative III - Manchester

Patient Access Representative III - Manchester

Job Summary

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, 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.

Essential Duties and Responsibilities

• Greeting patients 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 (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 Hospital services, assisting with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, explaining hospital procedure guidelines and policies.
• 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 & secured payment entry in adherence to financial & cash control policies & procedures.
• Securing medical necessity checks/verification in accordance to 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, leading shift Patient Access Operations, and collaborating with Department leaders in process and operational excellence.

Knowledge, Skills, Abilities

• Minimum typing skills of 35 wpm.
• Demonstrated working knowledge of software/system/equipment/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 able to perform essential job duties in at least three Patient Access service areas including ED.
• 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.

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.
• 2‑4 years experience in medical facility, health insurance, or related area.
• 2+ years in Patient Access preferred.
• Some college coursework is preferred.

Physical Demands

• 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.

Work Environment

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

Other…