C
Patient Access Representative III - Financial Counselor
Conifer Health Solutions
8 hours ago
Full-time
On-site
West Palm Beach, Florida, United States
Registered Nurse
JOB SUMMARY
Working Location: Good Samaritan Medical Center
Shift Information: Monday-Friday 8:30am-5pm
Responsible for a wide range of duties in support of departmental efficiencies
which may include but not limited to performing registration, patient
pre-admission and admission, reception and discharge functions, arranging
support Hospital services requested by patients through referrals, performs
thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports,
leads shift Patient Access Operations, and collaborates with Department leaders
in process and operational excellence.
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 or surgical procedures,
conducting physician office/patient interviews, and explains hospital
procedure guidelines and policies.
2. 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.
3. 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.
4. Performs thorough analysis of admission discharge transfers (ADT), Revenue
Cycle Reports, 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
* 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
* 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 able to perform essential job duties in at least three Patient Access
service areas including ED
* 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.
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 preffered to
perform the job.
* 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.
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.
* 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!
Working Location: Good Samaritan Medical Center
Shift Information: Monday-Friday 8:30am-5pm
Responsible for a wide range of duties in support of departmental efficiencies
which may include but not limited to performing registration, patient
pre-admission and admission, reception and discharge functions, arranging
support Hospital services requested by patients through referrals, performs
thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports,
leads shift Patient Access Operations, and collaborates with Department leaders
in process and operational excellence.
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 or surgical procedures,
conducting physician office/patient interviews, and explains hospital
procedure guidelines and policies.
2. 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.
3. 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.
4. Performs thorough analysis of admission discharge transfers (ADT), Revenue
Cycle Reports, 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
* 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
* 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 able to perform essential job duties in at least three Patient Access
service areas including ED
* 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.
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 preffered to
perform the job.
* 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.
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.
* 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!