Patient Access Representative III - St. Vincent Infirmary

Job Description

Job Summary

Responsible for a wide range of duties in support of departmental efficiencies which may include but not limited to performing registration, patient pre-admission and admission, reception and discharge functions, arranging support Hospital services requested by patients through referrals, performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence.

Essential Duties And Responsibilities

Include the following. Others may be assigned.

• Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms.
• Provides full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry.
• Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicare services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services.
• Performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence.

Knowledge, Skills, Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of software/system/equipment/PCs
• Knowledge of function and relationships within a hospital environment preferred
• 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 Understanding of Third-Party Payor requirements preferred
• Advanced Understanding of Compliance standards preferred
• Advanced Patient Liability Collection performance and 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 our Patients/Guarantors
• Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy

Education / Experience

Include minimum education, technical training, and/or experience preferred to perform the job.

• 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.

Physical Demands

• Must be able to sit at 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 include potential exposure to life-threatening patient conditions.

Other

• 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 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 quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!