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Patient Access Lead M-F 8:30am-5pm at East Cooper MC, Mt. Pleasant, SC

Company: Tenet
Location: Mount Pleasant
Posted on: November 11, 2019

Job Description:

As a part of the Tenet and Catholic Health Initiativesfamily, Conifer Health brings 30 years of healthcare industry expertise toclients in more than 135 local regions nationwide. We help our clientsstrengthen their financial and clinical performance, serve their communitiesand succeed at the business of healthcare. Conifer Health helps organizationstransition from volume to value-based care, enhance the consumer and patienthealthcare experience and improve quality, cost and access to healthcare. Areyou ready to be part of our solutions? Welcome to the company that gives you the resources and incentives toredefine healthcare services, with a competitive benefits package andleadership to take your career to the next step! JOB SUMMARY Demonstrates knowledge of departmental financial clearanceand displays Patient Access leadership skills to lead a wide range of duties insupport of departmental efficiencies which may include but not limited toarranging support Hospital services requested by patients through referrals,performs thorough analysis of admission discharge transfers (ADT), RevenueCycle Reports , drive team performance accountability , leads shift PatientAccess Operations, collaborates with Department leaders in process andoperational excellence. ESSENTIAL DUTIES ANDRESPONSIBILITIESInclude thefollowing. Others may be assigned.

  • Greeting customers following ConiferStandards of Care, provides world-class customer service, completes fullpatient registration at date of service adheres to financial & cash controlpolicies & procedures, thoroughly explains and secures Hospital &patient legal forms (i.e., Advance Directives, Conditions of services, Consentfor treatment, Important Message from Medicare, EMTALA, etc.). Scan ProtectedHealth Information, create and file patient information packets/folders forupcoming Hospital services. May alsoschedule diagnostic and/or surgical procedures, conducts physician office/patientinterviews, and explains hospital procedure guidelines and policies. Coordinates with clinical departments onschedule modifications.
  • Provides full patient financialcounseling, education & referrals, employs and completes all patientliability collection escalations through proper, compliant patient liabilitycollection techniques before, during & after date of service, performsHospital cash reconciliation & secured payment entry in adherence tofinancial & cash control policies & procedures.
  • Secures medical necessity checks/verificationin accordance to Centers for Medicare & Medicare services, verifiesinsurance, benefits, coverage & eligibility, completes assignedregistration financial clearance work lists activities, obtains insuranceauthorizations for scheduled & unscheduled Hospital services, and securesinpatient visit notification to payors.
  • Performs thorough analysis of admissiondischarge transfers (ADT), Revenue Cycle Reports, completes departmentaloperational reports based on team performance accountability, leads shiftPatient Access Operations, and collaborates with Department leaders in processand operational excellence.
  • Creates staff schedules, reviews timeoff requests, and facilitates team huddles & department meetings.

    Qualifications:
    KNOWLEDGE, SKILLS, ABILITIESTo 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
    • High level working knowledge of all Software, programs and equipment, including PCs
    • 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 all Patient Access service areas
    • 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
    • Identifies opportunities to improve patient relations and shorten the time it takes to handle registration processes EDUCATION / EXPERIENCEInclude minimum education, technical training, and/or experience preferred to perform the job.
      • High School Diploma or GED required
      • 2-4-year college degree in Business, Accounting, Medical Administration or related area preferred
      • 2 ? 4 years of experience in medical facility, health insurance, or related area
      • 3? 5 years of experience in Patient Access preferred
      • 1 ? 2 years in supervisory or lead role 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. 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.
          • 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.
            • Must be available for on-call scheduling support when required.
            • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients. Job: Patient AccessPrimary Location: Mount Pleasant, South CarolinaJob Type: Full-timeShift Type: Days

Keywords: Tenet, Mount Pleasant , Patient Access Lead M-F 8:30am-5pm at East Cooper MC, Mt. Pleasant, SC, Other , Mount Pleasant, South Carolina

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