Patient Access Representative II - Chi St Vincent
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Job Summary
Responsible for supporting departmental efficiencies, including scheduling, registration, patient pre-admission and admission, reception, and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives must employ proper, compliant patient liability collection techniques before, during, and after the date of service.
Essential Duties and Responsibilities
- Greeting patients following Conifer Standards of Care, providing world-class customer service, completing full patient registration at the date of service, adhering to financial and cash control policies, explaining and securing hospital and patient legal forms (e.g., Advance Directives, Consent for Treatment, Medicare messages, EMTALA), scanning Protected Health Information, creating and filing patient information packets. May assist with scheduling diagnostic procedures.
- Educating patients about financial liabilities, employing proper collection techniques, performing hospital cash reconciliation, and securing payments according to policies.
- Verifying insurance, benefits, coverage, and eligibility, completing registration and financial clearance activities, obtaining insurance authorizations, and securing inpatient visit notifications. May also assist with scheduling and coordinating post-discharge care.
Knowledge, Skills, Abilities
- 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 communication skills.
- Understanding of Third-Party Payor requirements and Compliance standards preferred.
- Ability to perform in at least two Patient Access service areas, including Emergency Department.
- Using negotiation techniques to collect owed money.
- Building collaborative relationships with internal and external clients.
- Interpreting physician orders, medical terminology, and insurance cards accurately.
Education / Experience
- High School Diploma or GED required.
- 0-1 year in a Customer Service role.
- 0-1 year administrative experience in medical or insurance settings preferred.
- Some college coursework preferred.
Physical Demands
- Sitting at a computer for extended periods.
- Occasionally lifting/carrying up to 25 lbs.
- Frequent standing, sitting, and walking.
- Occasional pushing of wheelchairs.
Work Environment
- Hospital setting, potential exposure to patient conditions.
Other
- Availability to work hours/days as needed.
- Resolving physician and patient issues, managing high patient volumes.