Patient Access Representative II

Tenet Healthcare Corporation•Rock Hill, SC

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing 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 the date of service. The position is based at Piedmont Medical Center, with a schedule of Wednesday 7 a.m.–1 p.m. and Friday–Sunday 3 p.m.–3 a.m.; additional availability may be required based on departmental and system demands. The representative greets patients and provides customer service while completing registrations, explaining and securing hospital and patient legal forms, scanning protected health information, and preparing patient information packets. Duties also include educating patients about financial liabilities; processing payments and reconciling cash; verifying medical necessity, insurance, benefits, coverage, and eligibility; completing financial-clearance worklists; obtaining authorizations and notifying payors of inpatient visits; and, as needed, helping schedule diagnostic procedures and coordinate post-discharge care. The role requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Work is in hospital administration and may take place in patient-care locations where there may be exposure to life-threatening patient conditions. Candidates, as applicable and as permitted by law, must provide confirmation of required vaccinations and screenings before starting employment.

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.
Ability to receive and communicate detailed information orally and in writing.
Ability to perform essential 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 provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

Knowledge of the 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 related area.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete full patient registration at the date of service and obtain complete, accurate patient demographic information.
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, Medicare notices, 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, entering information in scheduling systems, and providing appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed 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 verify insurance, benefits, coverage, and eligibility.
Complete assigned registration financial-clearance worklists and obtain insurance authorizations for scheduled and unscheduled hospital services.
Secure inpatient visit notifications to payors.
Assist with scheduling and coordinating post-discharge care as needed.
Perform essential job duties 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.
Be available to work hours and days as needed based on departmental and system demands.