Patient Access Representative (FT/12p - 8:30p) - St. Francis Medical Center at Grand Island

Description

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience and drive value-based performance. Through our revenue cycle management, patient communications, and value-based solutions, we empower healthcare decision makers-hospitals, health systems, physicians, self-insured employers and payers-to better connect every point of care and wellness management. Are you ready to be a 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!

Conifer is now hiring for a Patient Access Representative.

Hours: 12p - 8p for a total of 40 hours per week.

General Summary

Responsible for greeting customers and providing assistance with Registration, Bed Control and/or Scheduling functions. Conducts patient/guarantor/physician office interviews, explains hospital policies, financial responsibilities, privacy practices and patient bill of rights. Ensures that pre-certification and/or authorization are obtained, patient liabilities are collected, and appropriate bed assignments and scheduled appointments are made.

Principal Duties and Responsibilities

• Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments.
• Perform required pre-certification, credit referral or deposit collection.
• Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed.
• Utilize all technology appropriately and in accordance with regulations, compliance and performance standards.
• Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
• Responsible for the monitoring of daily activity and completion of performance reports assigned and helps on additional projects as needed.
• Notify patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction. Notifies patients of co-payments, deductibles or deposits needed and collects the liability, when applicable, documenting all information in computer system.
• Answers telephone calls. Follows pre-established script and provide assistance to callers.
• Perform all registration and ancillary scheduling functions which includes effective collection of required scheduling data elements and physician orders and clear communication of patient procedure instructions.
• Performs Bed Management functions accurately and timely.

Qualifications

Minimum Knowledge, Skills, and Abilities Required

• Minimum typing skills of 35 wpm
• Demonstrated working knowledge of software/system/equipment.
• 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
• Course in Medical Terminology required
• 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 crossed trained in 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.

Education/Experience

• High School Diploma or equivalent
• 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

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 .

Country: USA, State: Nebraska, City: Grand Island, Company: Conifer Health Solution.