Patient Access Representative II- St Michael's- Silverdale

Patient Access Representative II - St Michael's - Silverdale

Job Summary:

Responsible for duties in support of departmental efficiencies which may include 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:

• 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, thoroughly explaining and securing hospital & patient legal forms (Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets for upcoming hospital services.
  
  May also assist with scheduling diagnostic procedures (enter data in scheduling system, provide customer with appointment instructions, other tasks as needed).
• Educating patients about patient financial liabilities, employing proper, compliant patient liability collection techniques before, during & after date of service, performing hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies.
• Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid Services, verifying insurance, benefits, coverage & eligibility, completing assigned registration financial clearance work‑lists, 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.

Knowledge, Skills & Abilities:

• 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 patients/guarantors.
• Builds and maintains collaborative relationships with internal and external clients for effective communication and higher productivity and accuracy.
• Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.

Education / Experience:

• 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:

• Must be able to sit at a 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:

• Hospital administration.
• Can work in patient care locations which may include exposure to life‑threatening patient conditions.

Other:

• Must be available to work hours and days as needed based on departmental/system demands.
• Resolves physician 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…