Responsible for duties in support of departmental efficiencies which may
include: but not limited to performing scheduling, registration, patient
pre-admission and admission, reception and discharge functions. Must obtain
complete and accurate patient demographic information. Patient Access
representatives also must employ proper, compliant patient liability collection
techniques before, during & after date of service.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
1. Greeting patients 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 assist with scheduling diagnostic procedures (enters data in
scheduling system, provide customer with appointment instructions, other
tasks as needed).
2. Educates patients about patient financial liabilities, employs 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.
3. Secures medical necessity checks/verification in accordance to Centers for
Medicare & Medicaid 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. May
also assist with scheduling and coordinating post discharge care for
patients.
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
* 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
* Understanding of Third Party Payor requirements preferred
* Understanding of Compliance standards preferred
* Must be able to perform essential job duties in at least two Patient Access
service areas including Emergency Department.
* 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.
* Must be able to appropriately interpret physician orders, medical terminology
and insurance cards while maintaining Conifer Standards of Care.
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.
* 0 – 1 year in a Customer Service role.
* 0 – 1 year administrative experience in medical facility, health insurance,
or related area preferred
* Some college coursework is 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.
* Resolves Physician's office and Patient issues. May experience extreme
patient volumes and uncooperative Patients.
* 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.
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!