JOB SUMMARY Responsible for duties in support of departmental
efficiencies which may include: but not limited to 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
& after date of service. ESSENTIAL DUTIES AND RESPONSIBILITIES Include
the following. Others may be assigned. Greeting customers 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 procedures (enters data in
scheduling system, provide customer with appointment instructions, other
tasks as needed). Educates patients about patient financial liabilities,
employs 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 & Medicaid
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.
May also assist with scheduling and coordinating post discharge care for
patients. 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. Knowledge of function 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 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. Must be
able to appropriately interpret physician orders, medical terminology
and insurance cards while maintaining Conifer Standards of Care.
EDUCATION / EXPERIENCE Include minimum education, technical training,
and/or experience preferred to perform the job. High School Diploma or
GED required 0 1 year in a Customer Service role. 0 1 year
administrative experience in medical facility, health insurance, or
related area preferred Some college coursework is preferred PHYSICAL
DEMANDS The physical demands described here are representative of those
that must be met by an employee to successfully perform the essential
functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions. Must
be able to sit at computer terminal for extended periods Occasionally
lift/carry items weighing up to 25 lbs. Frequent prolonged standing,
sitting, and w lking