Patient Access Representative II- Monday - Friday day hours
- Council Bluffs, IA
- Permanent
- Full-time
- Greeting customers 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 (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).
- Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
- Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist 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 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.
- 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
- 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.
- Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.