Demonstrates knowledge of departmental financial clearance and displays Patient
Access leadership skills to lead a wide range of duties in support of
departmental efficiencies which may include but not limited to arranging support
Hospital services requested by patients through referrals, performs thorough
analysis of admission discharge transfers (ADT), Revenue Cycle Reports , drive
team performance accountability , leads shift Patient Access Operations,
collaborates with Department leaders in process and operational excellence.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Greeting customers following Conifer Standards of Care, provides world-class
customer service, completes full patient registration at date of service
adheres to financial & cash control policies & procedures, thoroughly
explains and secures Hospital & patient legal forms (i.e., 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 schedule diagnostic and/or surgical procedures, conducts physician
office/patient interviews, and explains hospital procedure guidelines and
policies. Coordinates with clinical departments on schedule modifications.
* Provides full patient financial counseling, education & referrals, employs
and completes all patient liability collection escalations through proper,
compliant patient liability collection techniques before, during & after date
of service, performs Hospital cash reconciliation & secured payment entry in
adherence to financial & cash control policies & procedures.
* Secures medical necessity checks/verification in accordance to Centers for
Medicare & Medicare services, verifies insurance, benefits, coverage &
eligibility, completes assigned registration financial clearance work lists
activities, obtains insurance authorizations for scheduled & unscheduled
Hospital services, and secures inpatient visit notification to payors.
* Performs thorough analysis of admission discharge transfers (ADT), Revenue
Cycle Reports, completes departmental operational reports based on team
performance accountability, leads shift Patient Access Operations, and
collaborates with Department leaders in process and operational excellence.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are representative
of the knowledge, skill and/or ability required. Reasonable accommodations may
be made to enable individuals with disabilities to perform the essential
functions.
* Minimum typing skills of 35 wpm
* High level working knowledge of all Software, programs and equipment,
including 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
* 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 crossed trained in all Patient Access service areas
* Uses proper negotiation techniques to professionally collect money owed by
our Patients/Guarantors
* Builds and maintains collaborative relationships with both internal and
external Clients that lead to more effective communication and a higher level
of productivity and accuracy
* Identifies opportunities to improve patient relations and shorten the time it
takes to handle registration processes
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, but is not limited to, the
COVID-19 vaccination, influenza vaccination, and/or any future required vaccines
and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to
perform the job.
* High School Diploma or GED required
* 2-4 year college degree in Business, Accounting, Medical Administration or
related area preferred
* 2 – 4 years experience in medical facility, health insurance, or related area
* 3– 5 years experience in Patient Access preferred
* 1 – 2 years in supervisory or lead role preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met
by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions.
* Must be able to sit at 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.
WORK ENVIRONMENT
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.
OTHER
* Must be available to work hours and days as needed based on
departmental/system demands.
* Must be available for on-call scheduling support when required.
* Resolves Physician's office and Patient issues. May experience extreme
patient volumes and uncooperative Patients.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health
brings 30 years of healthcare industry expertise to clients in more than 135
local regions nationwide. We help our clients strengthen their financial and
clinical performance, serve their communities, and succeed at the business of
healthcare. Conifer Health helps organizations transition from volume to
value-based care, enhance the consumer and patient healthcare experience and
improve quality, cost, and access to healthcare. Are you ready to be part of our
solutions? Welcome to the company that gives you the resources and incentives
to redefine healthcare services, with a competitive benefits package and
leadership to take your career to the next step!