Patient Access Representative II - CHI Mercy

Patient Access Representative II - CHI Mercy

Job Summary:

Responsible for duties in support of departmental efficiencies which may include performing scheduling, registration, patient pre‑admission and admission, reception, and discharge functions. Must obtain complete and accurate patient demographic information and employ proper, compliant patient liability collection techniques before, during, and after date of service.

• 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, thoroughly explaining and securing Hospital and patient legal forms (e.g., Advance Directives, Conditions of Services, Consent for treatment, Important Message from Medicare, EMTALA). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services, and assist with scheduling diagnostic procedures.
• Educating patients about patient financial liabilities and employing proper, compliant patient liability collection techniques before, during, and after date of service. Performing Hospital cash reconciliation and securing payment entry in adherence to financial and cash control policies.
• Securing medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services, verifying insurance, benefits, coverage, and eligibility, completing assigned registration financial clearance worklist activities, obtaining insurance authorizations for scheduled and unscheduled Hospital services, and securing inpatient visit notification to payors. Assisting with scheduling and coordinating post‑discharge care for patients.

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

• 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.

• Must be able to sit at computer terminal for extended periods of time.
• Resolve Physician's office and patient issues. May experience extreme patient volumes and uncooperative patients.
• 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 which include potential exposure to life‑threatening patient conditions.

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

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E‑Verify program and the employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.