Patient Access Representative III - Wed-Sat

Patient Access Representative III - Wed-Sat 6am-6pm

Join to apply for the Patient Access Representative III - Wed-Sat 6am-6pm role at Conifer Health Solutions.

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

• Greeting patients following Conifer Standards of Care, providing world‑class customer service, completing full patient registration at time of service, adhering to financial and cash control policies and procedures, thoroughly explaining and securing hospital and patient legal forms, scanning protected health information, creating and filing patient information packets 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 proper compliant techniques before, during and after the date of service, performing hospital cash reconciliation and secured payment entry in accordance with financial and cash control policies.
• Securing medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services, verifying insurance, benefits, coverage and eligibility, completing assigned registration financial clearance work lists, obtaining insurance authorizations for scheduled and unscheduled services, and securing inpatient visit notifications to payors.
• Performing thorough analysis of ADT and revenue cycle reports, leading shift Patient Access Operations, and collaborating with department leaders in process and operational excellence.

• Minimum typing skills of 35 words per minute.
• Demonstrated working knowledge of software, systems, equipment, and PCs.
• Knowledge of hospital environment functions and relationships.
• Advanced customer service skills and experience.
• Ability to work in a fast‑paced environment.
• Strong oral and written communication skills.
• Advanced understanding of third‑party payer requirements.
• Advanced understanding of compliance standards.
• Advanced patient liability collection performance and high productivity.
• Ability to perform essential duties in at least three Patient Access service areas including ED.
• Professional negotiation techniques for collecting money owed by patients or guarantors.
• Ability to build and maintain collaborative relationships with internal and external clients to increase productivity and accuracy.

• High School Diploma or GED required.
• 2–4 years experience in a medical facility, health insurance, or related area.
• 2+ years in Patient Access preferred.
• Some college coursework preferred.

• Must be able to sit at a 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 setting.
• Can work in patient care locations with exposure to potentially 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.

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 COVID‑19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

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.

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The employment practices of Conifer comply with all applicable laws and regulations.