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Patient Access Representative II
1 month ago
Conifer Health Solutions is seeking a highly skilled Patient Access Representative II to join our team. As a key member of our healthcare team, you will be responsible for performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. You will also be responsible for obtaining complete and accurate patient demographic information and employing proper, compliant patient liability collection techniques.
Essential Duties and Responsibilities- Greet customers and provide world-class customer service, completing full patient registration at date of service.
- Adhere to financial and cash control policies and procedures, thoroughly explaining and securing Hospital and patient legal forms.
- Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services.
- Assist with scheduling diagnostic procedures, entering data in scheduling systems and providing customers with appointment instructions.
- Educate patients about patient financial liabilities and employ proper, compliant patient liability collection techniques.
- Perform Hospital cash reconciliation and secured payment entry in adherence to financial and cash control policies and procedures.
- Secure medical necessity checks/verification in accordance with Centers for Medicare and Medicaid services, verify insurance, benefits, coverage, and eligibility.
- Complete assigned registration financial clearance work lists activities, obtain insurance authorizations for scheduled and unscheduled Hospital services, and secure inpatient visit notification to payors.
- Minimum typing skills of 35 wpm.
- Demonstrated working knowledge of PC/CRT/printer.
- Knowledge of function and relationships within a hospital environment preferred.
- 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.
- Course in Medical Terminology required.
- Understanding of Third Party Payor requirements preferred.
- Understanding of Compliance standards preferred.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Hospital administration, can work in patient care locations which include potential exposure to life-threatening patient conditions.
OtherMust be available to work hours and days as needed based on departmental/system demands. Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
