Patient Access Representative II - ER

Tenet Healthcare Corporation•Rock Hill, SC

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency 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 the date of service. At the Gold Hill ED in Fort Mill, South Carolina, the scheduled shift is Sunday through Tuesday, 7 p.m. to 7 a.m., and Wednesday, 7 p.m. to 1 a.m. The position requires three to five weeks of Monday-through-Friday daytime training before transitioning to this shift. The employee must also be available to work hours and days as needed based on departmental and system demands. The representative greets patients, completes registrations, handles financial and cash-control processes, explains and obtains required legal and hospital forms, and scans and organizes protected health information. The role may include scheduling diagnostic procedures and coordinating post-discharge care. It also involves verifying medical necessity, insurance, benefits, coverage, and eligibility; obtaining authorizations and payer notifications; completing financial-clearance work; and educating patients about financial liabilities. The work is performed in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions. The employee may encounter high patient volumes and uncooperative patients, and must perform essential duties in at least two Patient Access service areas, including the Emergency Department.

Requirements

High school diploma or GED.
Zero to one year of experience in a customer service role.
Minimum typing speed of 35 words per minute.
Working knowledge of PC, CRT, and printer use.
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 professional negotiation techniques to collect amounts owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must meet applicable vaccination and screening requirements before starting employment, as 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.
Zero to one year of administrative experience in a medical facility, health insurance, or a 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 accurate patient demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secure payment entry.
Explain and obtain required 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 the scheduling system, 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.
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.
Assist with scheduling and coordinating post-discharge care, as needed.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Resolve issues raised by physician offices and patients.
Work hours and days as needed based on departmental and system demands.