Patient Access Representative III
2 weeks ago
We are seeking a highly skilled Patient Access Representative III to join our team at Conifer Health Solutions. As a key member of our Patient Access Operations team, you will be responsible for a wide range of duties in support of departmental efficiencies, including registration, patient pre-admission and admission, reception and discharge functions, arranging support Hospital services requested by patients through referrals, and performing thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports.
Essential Duties and Responsibilities- Greet customers following Conifer Standards of Care and provide world-class customer service.
- Complete full patient registration at date of service and adhere to financial & cash control policies & procedures.
- Thoroughly explain and secure Hospital & patient legal forms, such as Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.
- Scan Protected Health Information and create and file patient information packets/folders for upcoming Hospital services.
- Assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies.
- Provide full patient financial counseling, education & referrals, and employ and complete all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service.
- Perform Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
- Secure medical necessity checks/verification in accordance to Centers for Medicare & Medicare services, verify insurance, benefits, coverage & eligibility, complete assigned registration financial clearance work lists activities, obtain insurance authorizations for scheduled & unscheduled Hospital services, and secure inpatient visit notification to payors.
- Perform thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, lead shift Patient Access Operations, and collaborate with Department leaders in process and operational excellence.
- Minimum typing skills of 35 wpm.
- Demonstrated working knowledge of software/system/equipment/PCs.
- Knowledge of function and relationships within a hospital environment preferred.
- Advance 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.
- Advanced Understanding of Third Party Payor requirements preferred.
- Advanced Understanding of Compliance standards preferred.
- Advanced Patient Liability Collection performance and high achievement in productivity.
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.
Work EnvironmentThe 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.
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