Patient Access Rep II - PRN Rotating Shifts - Northcentral Baptist

PRN Rotating Shifts Days, Evenings, Nights and Weekends MUST be able to work all shifts as needed

Responsible for duties in support of departmental efficiencies which may include: but not limited to performing  administrative duties, scheduling, registration, reception and patient check out functions. Must obtain complete and accurate patient demographic information.  Registration Representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.

Include the following. Others may be assigned.

 

No.Description% of Time

1.  

Administrative duties, to include but not limited to, schedule management, including calendars and schedules for providers at various facilities.  Takes meeting notes, minutes and follow up action items.  Completes data entry assignments along with creating various reports for departments and management.% varies by site

1.  

Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration on 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.  Schedules diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). % varies by site

1.  

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

1.  

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.  Performs scheduling, checks out patients and coordinates after care for patients.% varies by site

 

FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): N/A   SUPERVISORY RESPONSIBILITIES: N/A

 

Direct Reports (titles)N/AIndirect Reports (titles)N/A

 

 

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 a Patient Access service area.
• 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