Patient Access Rep III, Days - Resolute Health

Job Summary Responsible for a wide range of duties in support of departmental efficiencies which may include but are not limited to performing registration, patient pre‑admission and admission, reception and discharge functions, arranging support hospital services requested by patients through referrals, performing thorough analysis of admission, discharge, transfer (ADT) and revenue cycle reports, leading shift patient access operations, and collaborating with department leaders on process and operational excellence. Essential Duties and Responsibilities Include the following. Others may be assigned. Greeting patients following Conifer Standards of Care, providing world‑class customer service, completing full patient registration at date of service, adhering to financial and cash control policies and procedures, thoroughly explaining and securing hospital and patient legal forms (i.e., advance directives, conditions of services, consent for treatment, important Medicare messages, EMTALA, etc.), scanning protected health information, creating and filing patient information packets and folders for upcoming hospital services. May also assist with scheduling diagnostic or surgical procedures, conducting physician office/patient interviews, and explaining hospital procedure guidelines and policies. Providing full financial counseling, education and referrals, employing and completing all patient liability collection escalations through proper compliant techniques before, during and after date of service, performing hospital cash reconciliation and secured payment entry in adherence to financial and cash control policies and procedures. Securing medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services, verifying insurance, benefits, coverage and eligibility, completing assigned registration financial clearance work lists, obtaining insurance authorizations for scheduled and unscheduled hospital services, and securing inpatient visit notification to payors. Performing thorough analysis of admission, discharge, transfer (ADT) and revenue cycle reports, leading shift patient access operations, and collaborating with department leaders on 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. 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 software, system, equipment, and PCs. Knowledge of function and relationships within a hospital environment preferred. Advanced 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 patients and 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 High school diploma or GED required. 2–4 years experience in a medical facility, health insurance, or a related area. 2+ years in patient access preferred. Some college coursework is preferred. Physical Demands Must be able to sit at a computer terminal for extended periods of time. Occasionally lift or 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 or system demands. Resolves physicians’ office and patient issues. May experience extreme patient volumes and uncooperative patients. 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. 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: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. #J-18808-Ljbffr Tenet Healthcare