Patient Access Representative III - Abrazo Central
Conifer Health Solutions3 months ago
Phoenix, AZ, United States
On-site
Full-time
Junior Level (1-3 years)
Job Description
Position Overview
Responsible for a wide range of duties in support of departmental efficiencies which may include, but are not limited to, performing registration, patient pre-admission and admission, reception and discharge functions; arranging support hospital services requested by patients through referrals; performing thorough analysis of admission discharge transfers (ADT) and Revenue Cycle Reports; leading shift Patient Access Operations; and collaborating with department leaders in process and operational excellence.
Key Responsibilities
- Greeting patients following Conifer Standards of Care, providing world-class customer service, completing full patient registration on the date of service, adhering to financial & cash control policies and procedures, and thoroughly explaining and securing hospital and patient legal forms (e.g., Advance Directives, Conditions of Services, Consent for Treatment, Important Message from Medicare, EMTALA, etc.). Scanning Protected Health Information and preparing patient information packets/folders for upcoming hospital services. May also assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies.
- Providing full patient financial counseling, education, and referrals; employing and completing all patient liability collection escalations through proper, compliant techniques before, during, and after the date of service; and performing hospital cash reconciliation with secured payment entry in adherence to financial & cash control policies and procedures.
- Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicare 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 notifications to payors.
- Performing thorough analysis of admission discharge transfers (ADT) and Revenue Cycle Reports, leading shift Patient Access Operations, and collaborating with department leaders in process and operational excellence.
Required Qualifications
- Minimum typing skills of 35 wpm.
- Demonstrated working knowledge of software, systems, equipment, and PCs.
- 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 patient liability collection performance with 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 Patients/Guarantors.
- Builds and maintains collaborative relationships with both internal and external clients to enhance communication and productivity.
- High School Diploma or GED required.
- 2-4 years of experience in a medical facility, health insurance, or related area.
Preferred Qualifications
- Knowledge of function and relationships within a hospital environment.
- Advanced understanding of Third Party Payor requirements.
- Advanced understanding of Compliance standards.
- 2+ years in Patient Access preferred.
- Some college coursework is preferred.
Required Skills
Patient Liability Collection
Typing (35 wpm)
Team Leadership
Admission Discharge Transfer (ADT) Analysis
Revenue Cycle Reporting
Advanced Customer Service
Pre-admission & Admission Processes
Patient Registration
Financial Counseling
Insurance Verification