Patient Access Representative
Conifer Health Solutions

Job Order #: 21936016

Framingham, MA 01702

Full Time

40 hours per week

POSTED 12/27/2024

CLOSE DATE 3/27/2025

Job Description

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 walking

How To Apply

MassHire and Conifer Health Solutions, is working together to fill this position. Please submit resume/job number to Jennifer: jmckenna@masshiremsw.com, it will then be forwarded to the hiring manager.

Address

115 Lincoln St, Framingham, MA 01702
Framingham, MA 01702

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Shift

Second

3:00 PM - 11:30 PM

Per Diem Position

No

Union Position

No

Apprenticeship

No

Pay

Not Specified

Benefits

  • Employee Discount
  • Major Medical
  • Prescriptions
  • Vision Insurance
  • Dental Insurance
  • Life Insurance
  • Retirement Plan
  • 401K
  • Uniforms Furnished
  • Paid Holidays
  • In-house Skill Training Programs
  • Short Term Disability Leave
  • Long Term Disability Leave

Benefit Details

Name

Jennifer McKenna

Title

Business Services Rep.

Email

jmckenna@masshiremsw.com

Phone

Not Specified

Address

MassHire Career Center
Framingham, MA 01701

Website

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