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 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 and includes an initial 3–5 weeks of Monday–Friday training before transitioning to the emergency department shift. Patient access experience is not required. The representative greets and registers patients, provides customer service, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role may also support diagnostic procedure scheduling and coordinate post-discharge care. Financial duties include educating patients about their liabilities, collecting and reconciling payments, and following cash-control policies. Insurance-related duties include checking medical necessity, verifying coverage and eligibility, obtaining authorizations, completing financial-clearance work lists, and notifying payors of inpatient visits. The role requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Work takes place in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions. Employees must be available to work hours and days as required by departmental or system demands. Required vaccinations and screenings, as applicable and permitted by law, must be confirmed before employment begins.

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 meet applicable vaccination and screening requirements before starting employment, as permitted by law.
Must be available to work hours and days as needed based on departmental or system demands.

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 related area.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain accurate demographic information.
Follow financial and cash-control policies and procedures.
Explain and obtain required hospital and patient legal forms, including applicable 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, entering information in the scheduling system, and providing appointment instructions, as needed.
Educate patients about financial liabilities and use compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and secure payment entry in accordance with financial and cash-control policies.
Check medical necessity in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance, benefits, coverage, and eligibility.
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.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
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 involving physicians’ offices and patients.
Remain available to work hours and days as required by departmental or system demands.