Patient Access Rep II CHI St Vincent Hospital

Patient Access Rep II - Days, CHI St Vincent Hospital

Responsible for duties in support of departmental efficiencies which may include, but are not limited to: performing scheduling, registration, patient pre‑admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Must employ proper, compliant patient liability collection techniques before, during & 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 & cash control policies & procedures, 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 and create/file patient information packets/folders for upcoming Hospital services.
  
  May also assist with scheduling diagnostic procedures.
• Educating patients about patient financial liabilities, employing proper, compliant collection techniques before, during & after date of service, performing Hospital cash reconciliation & secured payment entry in adherence to policies & procedures.
• Securing medical necessity checks/verification per CMS, verifying insurance, benefits, coverage & eligibility, completing registration financial clearance worklists, obtaining insurance authorizations for scheduled & unscheduled services, and securing inpatient visit notifications to payors. May also assist with scheduling and coordinating post‑discharge care.

• Minimum typing skills of 35 wpm
• Working knowledge of PC/CRT/printer
• Knowledge of hospital environment preferred
• Customer service skills and experience
• Ability to work in a fast‑paced environment
• Effective oral and written communication
• Understanding of Third Party Payor requirements preferred
• Understanding of Compliance standards preferred
• Capable of performing duties in at least two Patient Access service areas including Emergency Department
• Use proper negotiation techniques to collect money owed
• Build and maintain collaborative relationships with internal and external clients
• 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 of administrative experience in medical facility, health insurance, or related area preferred.
• Some college coursework preferred.

• Must be able to sit at computer terminal for extended periods.
• Resolve Physician's office and Patient issues; may experience extreme patient volumes.
• Occasionally lift/carry items up to 25 lbs.
• Frequent prolonged standing, sitting, and walking.
• Occasionally push a wheelchair to assist patients.

• Hospital administration setting.
• Can work in patient care locations, potentially exposed to life‑threatening 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.

• Associate

• Full‑time

• Health Care Provider

• Hospitals and Health Care and Medical Practices