Patient Access Lead Representative

Tenet Healthcare Corporation•El Paso, TX

1d•Onsite

About The Position

The Patient Access Lead Representative demonstrates knowledge of departmental financial clearance and provides leadership across a wide range of duties that support departmental efficiency. The role may arrange support hospital services requested through patient referrals, analyze admission, discharge, and transfer (ADT) and revenue cycle reports, promote team accountability, lead shift Patient Access operations, and collaborate with department leaders on process and operational excellence. The position is located at THOP Sierra Off Campus Imaging Center, works full-time days, and requires Spanish. The employee must be available to work hours and days as needed based on departmental or system demands and provide on-call scheduling support when required. The role may involve extreme patient volumes and uncooperative patients, and may require resolving physician office and patient issues. Conifer requires applicable vaccination and screening confirmation before employment, as permitted by law.

Requirements

Spanish required.
High school diploma or GED required.
2–4 years of experience in a medical facility, health insurance, or related area.
Minimum typing speed of 35 words per minute.
Working knowledge of software, programs, equipment, and PCs.
Advanced customer-service skills and experience.
Ability to work in a fast-paced environment and communicate detailed information orally and in writing.
Advanced patient-liability collection performance and high productivity.
Must be cross-trained in all Patient Access service areas.
Ability to use professional negotiation techniques to collect amounts owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients, supporting effective communication, productivity, and accuracy.
Ability to identify opportunities to improve patient relations and reduce registration processing time.
Must meet applicable vaccination and screening requirements before employment, as permitted by law.
Must be available to work hours and days as needed based on departmental or system demands and provide on-call scheduling support when required.

Nice To Haves

A 2–4 year college degree in Business, Accounting, Medical Administration, or a related area.
Knowledge of functions and relationships within a hospital environment.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.
3–5 years of experience in Patient Access.
1–2 years in a supervisory or lead role.

Responsibilities

Greet customers according to Conifer Standards of Care and provide world-class customer service.
Complete full patient registration at the date of service; follow financial and cash control policies and procedures; explain and secure hospital and patient legal forms, including advance directives, conditions of service, consent for treatment, Important Message from Medicare, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
May schedule diagnostic or surgical procedures, conduct physician office and patient interviews, explain hospital procedure guidelines and policies, and coordinate schedule modifications with clinical departments.
Provide patient financial counseling, education, and referrals; complete patient-liability collection escalations using proper and compliant techniques before, during, and after the date of service; reconcile hospital cash and enter secured payments in accordance with financial and cash control policies.
Perform medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements; verify insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance worklists; obtain insurance authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notifications to payors.
Analyze ADT and revenue cycle reports, complete departmental operational reports relating to team performance accountability, lead shift Patient Access operations, and collaborate with department leaders on process and operational excellence.
Resolve physician office and patient issues.
Be available for hours and days as needed according to departmental or system demands and provide on-call scheduling support when required.