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Patient Access Representative
2 weeks ago
Required Skills and Experience *
• 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.
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
Job Description *
Job Summary: The Rep, Patient Access III is responsible for a wide range of duties in support of departmental efficiencies. These duties may include performing patient registration, pre-admission, and admission tasks, as well as reception and discharge functions. Additionally, the role involves arranging support services requested by patients through referrals, analyzing admission discharge transfers (ADT), collaborating Wwith department leaders, and ensuring operational excellence.
Essential Duties and Responsibilities:
1. Greeting and Registration:
• Greet customers following Conifer Standards of Care.
• Provide world-class customer service.
• Complete full patient registration at the date of service.
• Adhere to financial and cash control policies and procedures.
• Explain and secure hospital and patient legal forms (e.g., Advance Directives, Conditions of Services, Consent for Treatment, Important Message from Medicare, EMTALA).
• Scan protected health information.
• Create and file patient information packets/folders for upcoming hospital services.
• Assist with scheduling diagnostic or surgical procedures.
• Conduct physician office/patient interviews.
• Explain hospital procedure guidelines and policies.
2. Patient Financial Counseling and Collection:
• Provide full patient financial counseling, education, and referrals.
• Employ compliant patient liability collection techniques before, during, and after the date of service.
• Perform hospital cash reconciliation and secured payment entry according to financial and cash control policies and procedures.
3. Insurance Verification and Authorization:
• Secure medical necessity checks/verification in accordance with Centers for Medicare & Medicaid Services (CMS) guidelines.
• Verify insurance, benefits, coverage, and eligibility.
• Complete assigned registration financial clearance work lists activities.
• Obtain insurance authorizations for scheduled and unscheduled hospital services.
• Secure inpatient visit notification to payors.
4. Operational Excellence:
• Perform thorough analysis of admission discharge transfers (ADT) and revenue cycle reports.
• Lead shift Patient Access Operations.
• Collaborate with department leaders to improve processes and operational efficiency.
Worksite location: Phoenix, 85016
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