Conifer Health Solutions
Patient Access Representative II - Dayshift MetroWest
Conifer Health Solutions, Framingham, Massachusetts, us, 01704
Patient Access Representative II - Dayshift MetroWest
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Patient Access Representative II - Dayshift MetroWest
role at
Conifer Health Solutions
Job Summary Responsible for duties in support of departmental efficiencies including scheduling, registration, patient pre‑admission, admission, reception and discharge functions. Must obtain complete and accurate patient demographic information and 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 & procedures, thoroughly explaining and securing hospital & patient legal forms (e.g., Advance Directives, Conditions of Services, Consent for Treatment, Important Message from Medicare, EMTALA). Scan PHI, create and file patient information packets/folders for upcoming hospital services. May also assist with scheduling diagnostic procedures.
Educating patients about financial liabilities, employing proper, compliant patient liability collection techniques, performing hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
Securing medical necessity checks/verification in accordance with CMS, verifying insurance, benefits, coverage & eligibility, completing assigned registration financial clearance work lists 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.
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 communication.
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 the Emergency Department.
Uses proper negotiation techniques to professionally collect money owed by patients/guarantors.
Builds and maintains collaborative relationships with internal and external clients for effective communication and higher productivity.
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 of administrative experience in a medical facility, health insurance, or related area preferred.
Some college coursework preferred.
Physical Demands
Must be able to sit at a computer terminal for extended periods of time.
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.
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.
Compensation and Benefit Information
Pay: $19.02 – $28.53 per hour.
Shift differentials of $1.00–$2.50 per hour may be available depending on the shift worked.
Conifer observed holidays receive time and a half.
Benefits
Medical, dental, vision, disability, and life insurance.
Paid time off (vacation & sick leave) – minimum of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee Assistance Program, Employee discount program.
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
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. For additional information visit: http://www.uscis.gov/e‑verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Patient Access Representative II - Dayshift MetroWest
role at
Conifer Health Solutions
Job Summary Responsible for duties in support of departmental efficiencies including scheduling, registration, patient pre‑admission, admission, reception and discharge functions. Must obtain complete and accurate patient demographic information and 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 & procedures, thoroughly explaining and securing hospital & patient legal forms (e.g., Advance Directives, Conditions of Services, Consent for Treatment, Important Message from Medicare, EMTALA). Scan PHI, create and file patient information packets/folders for upcoming hospital services. May also assist with scheduling diagnostic procedures.
Educating patients about financial liabilities, employing proper, compliant patient liability collection techniques, performing hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
Securing medical necessity checks/verification in accordance with CMS, verifying insurance, benefits, coverage & eligibility, completing assigned registration financial clearance work lists 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.
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 communication.
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 the Emergency Department.
Uses proper negotiation techniques to professionally collect money owed by patients/guarantors.
Builds and maintains collaborative relationships with internal and external clients for effective communication and higher productivity.
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 of administrative experience in a medical facility, health insurance, or related area preferred.
Some college coursework preferred.
Physical Demands
Must be able to sit at a computer terminal for extended periods of time.
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.
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.
Compensation and Benefit Information
Pay: $19.02 – $28.53 per hour.
Shift differentials of $1.00–$2.50 per hour may be available depending on the shift worked.
Conifer observed holidays receive time and a half.
Benefits
Medical, dental, vision, disability, and life insurance.
Paid time off (vacation & sick leave) – minimum of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee Assistance Program, Employee discount program.
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
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. For additional information visit: http://www.uscis.gov/e‑verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
#J-18808-Ljbffr