Patient Access Lead Representative

Tenet Healthcare Corporation•Rock Hill, SC

23h•Onsite

About The Position

The Patient Access Lead Representative works at Piedmont Medical Center and demonstrates knowledge of departmental financial clearance while leading a wide range of duties that support departmental efficiency. The role may include arranging hospital services requested through referrals, analyzing admission, discharge, and transfer (ADT) and revenue cycle reports, driving team accountability, leading shift Patient Access operations, and collaborating with department leaders on process and operational excellence. The representative greets customers and provides customer service; completes patient registration; explains and secures hospital and patient legal forms; scans protected health information; and creates and files patient information packets. The role may also schedule diagnostic or surgical procedures, interview physician offices and patients, explain hospital procedure guidelines, and coordinate schedule modifications with clinical departments. It provides financial counseling and education, handles patient liability collections and cash reconciliation, verifies medical necessity and insurance coverage, completes financial-clearance worklists, obtains authorizations, and notifies payors of inpatient visits. The position requires cross-training in all Patient Access service areas, strong customer-service and communication skills, and the ability to work in a fast-paced hospital environment. The employee must be available for hours and days as needed by departmental or system demands and for on-call scheduling support when required. The role may involve high patient volumes, uncooperative patients, and work in patient-care locations where exposure to life-threatening patient conditions is possible.

Requirements

High school diploma or GED required.
Two to four years of experience in a medical facility, health insurance, or a related area.
Minimum typing speed of 35 words per minute.
High-level working knowledge of software, programs, and equipment, including 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 achievement in productivity.
Must be cross-trained in all Patient Access service areas.
Ability to use appropriate negotiation techniques to collect money owed by patients or guarantors professionally.
Ability to build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Ability to identify opportunities to improve patient relations and shorten registration processing time.
Must obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

A two- to four-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.
Three to five years of experience in Patient Access.
One to two years in a supervisory or lead role.

Responsibilities

Greet customers according to Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and 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.
As needed, schedule diagnostic or surgical procedures, interview physician offices and patients, 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, compliant collection techniques before, during, and after the date of service; perform hospital cash reconciliation and secured payment entry.
Secure medical-necessity checks and verification; verify insurance, benefits, coverage, and eligibility; complete assigned registration financial-clearance worklists; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notification to payors.
Analyze admission, discharge, and transfer (ADT) and revenue cycle reports, and complete departmental operational reports related 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 on-call scheduling support when required and work hours and days as needed based on departmental or system demands.