Experienced Patient Access Representative III - Oakland Rehab

Experienced Patient Access Representative III - Oakland Rehab

Job Summary:

Responsible for a wide range of duties in support of departmental efficiencies including registration, patient pre-admission and admission, reception and discharge functions, arranging hospital services requested by patients through referrals, analyzing admission/discharge transfers (ADT), Revenue Cycle Reports, leading shift Patient Access Operations, and collaborating with Department leaders in process and operational excellence.

• Greeting patients following Conifer Standards of Care, providing world-class customer service, completing full patient registration at date of service, adhering to financial and cash control policies and procedures, explaining and securing Hospital & patient legal forms (e.g., Advance Directives, Consent for treatment, Important Message from Medicare, EMTALA). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services.
  
  May assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies.
• Provide full patient financial counseling, education & referrals; perform patient liability collection escalations through compliant techniques before, during, and after date of service; perform hospital cash reconciliation and secure payment entry in line with policies.
• Secure medical necessity checks/verification per Centers for Medicare & Medicaid Services, verify insurance, benefits, coverage & eligibility; complete registration financial clearance activities; obtain insurance authorizations for scheduled and unscheduled hospital services; secure inpatient visit notification to payors.
• Perform thorough analysis of ADT, Revenue Cycle Reports; lead shift Patient Access Operations; collaborate with Department leaders in process and operational excellence.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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/systems/equipment
• Knowledge of function and relationships within a hospital environment preferred
• Advanced 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 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 internal and external clients to improve communication, 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 start of employment, including but not limited to COVID-19 and influenza vaccines where required.

• 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

• Must be able to sit at a computer terminal for extended periods
• 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

• Hospital administration
• Can work in patient care locations with potential exposure to life-threatening patient conditions

• 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 part of the Tenet and Catholic Health…