JOB SUMMARY
Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs.
Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc.
to route account appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Conducts interviews with patients and / or family members.
- Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.
- Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
- Follows up on EES assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
- Conducts field visits to patient homes for skip tracing and or assisting patient with documents.
- Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.
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.
- Working familiarity with the rules and regulations pertaining to Federal, State and County programs
- P / C systems literate including Windows, and Microsoft Outlook, Excel and Word programs
- Ability to work independently
- Excellent oral and written communication skills, as well as the clear understanding of the English language
- Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms
- Ability to prioritize and manage multiple tasks with efficiency
- Bi-lingual preferred (Spanish)
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.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and / or experience required to perform the job.
- High School diploma or equivalent
- Minimum 2 years work experience with Social Services or Hospital Admitting or related area
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.
- Ability to sit and work at a computer terminal for extended periods of time
- Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside
- Ability to travel if required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Both Hospital and Office facilities, in direct contact with Patients and Staff
OTHER
Some travel may be required
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide.
We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare.
Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare.
Are you ready to be 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!
No. Description % of Time 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 (.
Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, . 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).
varies by site 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.
varies by site 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. % varies by site FINANCIAL RESPONSIBILITY (Specify Revenue / Budget / Expense) : N / A SUPERVISORY RESPONSIBILITIES : N / AKNOWLEDGE, 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 PC / CRT / printer
- 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
- Course in Medical Terminology required
- 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.
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.
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 of time
- 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.
Patient Access Representative-prn
Patient Access Representative will work under the direct supervision of the Patient Access Supervisor to provide constant and efficient operations of the medical office. The Patient Access Representative provides constant and efficient operations of the physician medical office. Coordinate and parti...
Patient Access Representative Prn - Children's Specialty Clinics- Summey Medical Pavilion North Charleston
Under general supervision, the Patient Access Services Representative provides high level customer service while facilitating accurate and timely completion of registration verifying and preparing all patient accounts for inpatient and outpatient billing to maximize payment for Hospital and Clinic s...
Patient Access Representative I-
Under the supervision of the Patient Access Services Supervisor, the Patient Registration Representative serves as the initial point of contact for patients. Maintains Age Specific Competency based on the age and developmental stage of the patient population for their service. CC002342 CHSCorp - Out...
Patient Access Representative
Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services. Reviews and verifies all payment meth...
Patient Access Representative I
Under general supervision, the Patient Access Services Representative provides high level customer service while facilitating accurate and timely completion of registration verifying and preparing all patient accounts for inpatient and outpatient billing to maximize payment for Hospital and Clinic s...
Outpatient Float Team-Patient Access Representative-1
The Patient Access Representatives work at the front desk, greeting patients, checking them in for their appointments which include insurance verification and copay collection. Patient Access Representatives are also responsible for scheduling patients for their follow up appointments. Patient Acces...
Patient Access Representative I (Outpatient)
Facilitates accurate and timely completion of registration and distributes all paperwork necessary for patient care. Applies guest relations policies to patients, physicians and co-workers. Maintains Age Specific Competency based on the age and developmental stage of the patient population for their...
Patient Access Representative I (Outpatient Registration)
Under general supervision and reporting to the Patient Access Services Supervisor, the Patient Access Services Representative provides high level customer service while facilitating accurate and timely completion of registration verifying and preparing all patient accounts for inpatient and outpatie...
Patient Access Representative I
Day (United States of America).Provide administrative coverage at the front desk of the HIV and STD Clinic including monitoring the clinic appointment line to include scheduling appointments for clients from outside medical, hospital, correction systems.Take payments from clients for clinical servic...
Patient Access Services Representative
Under general supervision, the Patient Access Services Representative provides high level customer service while facilitating accurate and timely completion of registration verifying and preparing all patient accounts for inpatient and outpatient billing to maximize payment for Hospital and Clinic s...