Patient Access Representative II - Abrazo Scottsdale

Position Overview

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.

Key Responsibilities

• Greeting patients following Conifer Standards of Care; providing world-class customer service, completing full patient registration at date of service, adhering to financial & cash control policies & procedures, and thoroughly explaining and securing Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scanning Protected Health Information and creating and filing patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures.
• Educating patients about financial liabilities, employing proper patient liability collection techniques before, during & after date of service, and performing Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
• Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid Services; verifying insurance, benefits, coverage & eligibility; completing assigned registration financial clearance work list activities; obtaining insurance authorizations for scheduled & unscheduled Hospital services; and securing inpatient visit notification to payors. May also assist with scheduling and coordinating post-discharge care for patients.

Required Qualifications

• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of PC/CRT/printer
• 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
• Must be able to perform essential job duties in at least two Patient Access service areas including the Emergency Department
• Uses proper negotiation techniques to professionally collect money owed by patients/guarantors
• Builds and maintains collaborative relationships with internal and external clients
• Must be able to appropriately interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care
• Education: High School Diploma or GED required
• Experience Required: 0 – 1 year in a Customer Service role

Preferred Qualifications

• Knowledge of function and relationships within a hospital environment preferred
• Understanding of Third-Party Payor requirements preferred
• Understanding of Compliance standards preferred
• 0 – 1 year administrative experience in a medical facility, health insurance, or related area preferred
• Some college coursework is preferred

Benefits & Perks

• Benefits: Competitive benefits package offered