Patient Access Representative III - Outpatient

Conifer Health Solutions, LLC.; Glendale (AZ); On-site; USD 32,000 - 46,000; Full time

Job summary

Conifer Health Solutions, LLC. is seeking a Patient Access professional to support registration, financial clearance, and patient services with a focus on accuracy and compliance.

The role involves counseling patients on billing, verifying insurance, and coordinating with hospital departments to ensure smooth admissions and services.

Qualifications

• High School Diploma or GED required.
• 2-4 years experience in medical facility or health insurance.
• 2+ years in Patient Access preferred.
• Some college coursework preferred.

Responsibilities

• Perform full patient registration and financial clearance at date of service.
• Provide patient financial counseling and referrals; escalate as needed.
• Verify insurance, benefits, coverage and eligibility; obtain authorizations.
• Lead shift Patient Access Operations and support ADT analysis.

Skills

Customer service

Communication skills

Negotiation

Team collaboration

Typing 35 wpm

Adaptability

HIPAA/compliance awareness

Education

High School Diploma or GED

Some college coursework

Job description

JOB SUMMARY

Working Location: Abrazo Arrowhead Campus

Job Summary

JOB SUMMARY

Working Location: Abrazo Arrowhead Campus

Shift Information: Monday - Friday 11:30am to 5pm

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

• 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 (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 or surgical procedures, conducting physician office/patient interviews, and explains hospital procedure guidelines and policies.
• 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 in adherence to financial & cash control policies & procedures.
• 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, and secures inpatient visit notification to payors.
• 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

• 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.

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

• 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!

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.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

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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.