Patient Access Representative III - Wed-Sat

Patient Access Representative III – Wed‑Sat 10 am‑10 pm

Conifer Health Solutions

Responsible for a wide range of duties in support of departmental efficiencies which may include but are not limited to performing registration, patient pre‑admission and admission, reception and discharge functions, arranging support hospital services requested by patients through referrals, performing thorough analysis of admission, discharge, transfer (ADT), 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 the date of service, adhering to financial and cash control policies and procedures, thoroughly explaining and securing hospital and 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 or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies.
• Providing full patient financial counseling, education, and referrals; employing and completing all patient liability collection escalations through proper, compliant patient liability collection techniques before, during and after the date of service; performing hospital cash reconciliation and securing payment entry in adherence to financial and cash control policies and procedures.
• 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 notification to payors.
• Performing thorough analysis of admission, discharge, transfer (ADT), revenue cycle reports; leading shift patient access operations; collaborating with department leaders in process and operational excellence.

• Minimum typing skills of 35 words per minute.
• 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 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.

• 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 preferred.

• Must be able to sit at a 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…