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 transfers (ADT), revenue cycle reports, leading shift patient access operations, and collaborating with department leaders in process and operational excellence. Essential Duties and Responsibilities 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 (e.g., advance directives, conditions of service, 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 and conducting physician office/patient interviews, and explain hospital procedure guidelines and policies. Providing full patient 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/verification in accordance with Centers for Medicare and Medicaid Services, verifying insurance, benefits, coverage and eligibility, completing assigned registration financial clearance work list activities, obtaining insurance authorizations for scheduled and unscheduled hospital services, and securing inpatient visit notification to payors. Performing thorough analysis of admission discharge transfers (ADT), revenue cycle reports, leading shift patient access operations, and collaborating with department leaders in process and operational excellence. Knowledge, Skills, and Abilities Minimum typing skills of 35 words per minute. Demonstrated working knowledge of software, systems, equipment and PCs. Knowledge of functions 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 internal and external clients that lead to more effective communication and a higher level of productivity and accuracy. Education and Experience High school diploma or GED required. 2–4 years experience in a 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 a computer terminal for extended periods of time. Occasionally lift or carry items weighing up to 25 pounds. 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 and system demands. Resolves physician office and patient issues; may experience extreme patient volumes and uncooperative patients. Equal Employment Opportunity 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. E‑Verify Tenet participates in the E‑Verify program. Follow the link below for additional information. E‑Verify: #J-18808-Ljbffr Conifer Health Solutions