Patient Access Representative II - M-F Days
Company: Conifer Health Solutions
Location: Hudson
Posted on: October 23, 2024
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Job Description:
JOB SUMMARY
Responsible for duties in support of departmental efficiencies
which may include: but not limited to performing scheduling,
registration, patient pre-admission and admission, reception and
discharge functions. Must obtain complete and accurate patient
demographic information. Patient Access representatives also must
employ proper, compliant patient liability collection techniques
before, during & after date of service.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
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.
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. 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 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
Course in Medical Terminology required
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.
Conifer requires its candidates, as applicable and as permitted by
law, to obtain and provide confirmation of all required
vaccinations and screenings prior to the start of employment. This
may include, but is not limited to, the COVID-19 vaccination,
influenza vaccination, and/or any future required vaccines and
screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience
preferred to perform the job.
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
PHYSICAL DEMANDS
The physical demands described here are representative of those
that must be met by an employee to successfully perform the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.
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
The work environment characteristics described here are
representative of those an employee encounters while performing the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.
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!
2403032586
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.
Keywords: Conifer Health Solutions, Nashua , Patient Access Representative II - M-F Days, Other , Hudson, New Hampshire
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