Patient Access Representative II - Rehab

Tenet Healthcare Corporation•West Palm Beach, FL

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through scheduling, registration, pre-admission and admission, reception, and discharge functions. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after the date of service. The position is based at St Mary's Medical Center, with stated hours of Monday through Friday, 7:30 a.m. to 4:00 p.m.; availability to work other hours and days may be required according to departmental or system demands. The representative welcomes patients, provides customer service, completes registrations, handles legal forms and protected health information, and prepares patient information packets. The role also explains patient financial liabilities, processes payments and cash reconciliation, verifies insurance and medical necessity, obtains authorizations and payor notifications, and completes financial-clearance work. Scheduling diagnostic procedures and coordinating post-discharge care may also be part of the work. The position requires a high school diploma or GED, at least 35 words-per-minute typing, computer proficiency, customer-service ability, and the ability to work in a fast-paced environment. Employees must be able to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Required vaccinations and screenings, as applicable and permitted by law, must be confirmed before employment begins.

Requirements

High school diploma or GED.
Minimum typing speed of 35 words per minute.
Demonstrated working knowledge of a PC, CRT, and printer.
Customer-service skills and experience.
Ability to work in a fast-paced environment.
Ability to receive and communicate detailed information orally and in writing.
Ability to perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use professional negotiation techniques to collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.
0–1 year of experience in a customer-service role.
Must be able to sit at a computer terminal for extended periods, frequently stand, sit, and walk, occasionally lift or carry up to 25 pounds, and occasionally push a wheelchair.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Understanding of third-party payor requirements.
Understanding of compliance standards.
0–1 year of administrative experience in a medical facility, health insurance, or a related area.
Some college coursework.

Responsibilities

Greet patients in accordance with Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain accurate patient demographic information.
Follow financial and cash-control policies and procedures; explain and secure required hospital and patient legal forms.
Scan protected health information and create and file information packets or folders for upcoming hospital services.
May schedule diagnostic procedures, enter scheduling data, provide appointment instructions, and complete related tasks.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and enter secured payments according to financial and cash-control policies.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration financial-clearance work-list activities.
Obtain insurance authorizations for scheduled and unscheduled hospital services and secure inpatient visit notifications to payors.
May assist with scheduling and coordinating post-discharge care.
Maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve issues raised by physician offices and patients.