Patient Access Representative II

Tenet Healthcare Corporation•West Palm Beach, FL

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiencies through patient 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 services. The position is based at St Mary's Medical Center and is scheduled to work Thursday through Saturday, 7:00 p.m. to 7:30 a.m., following 4–5 weeks of required Monday-to-Friday day-shift training. The representative greets patients, provides customer service, completes registration, explains and secures required legal and hospital forms, scans protected health information, and prepares patient information packets. Duties also include educating patients about financial liabilities; processing and reconciling payments; verifying medical necessity, insurance, benefits, coverage, and eligibility; completing financial-clearance work; obtaining authorizations and inpatient visit notifications; and potentially assisting with diagnostic scheduling and post-discharge care coordination. The role requires the ability to work in at least two Patient Access service areas, including the Emergency Department. Work takes place in hospital administration and may include patient-care locations where life-threatening patient conditions could be encountered. Employees must be available to work hours and days as needed based on departmental and system demands.

Requirements

High school diploma or GED.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
Working knowledge of a PC, CRT, and printer.
Customer service skills and experience.
Ability to work in a fast-paced environment 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 appropriate negotiation techniques to professionally collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must be available to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of required vaccinations and screenings before employment starts, as applicable and permitted by law.

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, provide customer service, complete full patient registration, 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.
Assist with scheduling diagnostic procedures as needed, including entering information in scheduling systems and providing appointment instructions.
Educate patients about financial liabilities and use compliant techniques to collect patient payments before, during, and after the date of service.
Reconcile hospital cash and enter secured payments in accordance with financial and cash-control policies and procedures.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable Centers for Medicare & Medicaid Services requirements.
Complete assigned registration financial-clearance work-list activities, obtain authorizations for scheduled and unscheduled hospital services, and secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Work in at least two Patient Access service areas, including the Emergency Department.
Build and 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.