Patient Access Rep II - Nights - Citizens Medical

Job Summary Responsible for duties in support of departmental efficiencies which may include 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, 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 & cash control policies and procedures, and thoroughly explaining and securing Hospital & patient legal forms (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, and may assist with scheduling diagnostic procedures (entering data in scheduling system, providing customer with appointment instructions, and other tasks as needed). Educating patients about patient financial liabilities, employing proper, compliant patient liability collection techniques before, during, and after the date of service, performing hospital cash reconciliation, and securing payment entry in adherence to financial & cash control policies and procedures. Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid Services, verifying insurance, benefits, coverage & eligibility, completing assigned registration financial clearance work list activities, obtaining insurance authorizations for scheduled & unscheduled hospital services, and securing inpatient visit notification to payors. May also assist with scheduling and coordinating post‑discharge care for patients. Knowledge, Skills, Abilities Minimum typing skills of 35 wpm. Demonstrated working knowledge of PC, CRT, printer. Knowledge of functions 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. 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 Emergency Department. Uses proper negotiation techniques to professionally collect money owed by patients/guarantors. Builds and maintains collaborative relationships with internal and external clients to improve communication and accuracy. Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care. Education / Experience High School Diploma or GED required. 0–1 year in a Customer Service role. 0–1 year administrative experience in a medical facility, health insurance, or related area preferred. Some college coursework is preferred. Physical Demands Must be able to sit at a computer terminal for extended periods of time. Resolve physician and patient issues; may experience extreme patient volumes and uncooperative patients. 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 setting. 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. Equity and Employment Practices 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. E‑Verify: #J-18808-Ljbffr