Patient Access Representative II

Tenet Healthcare Corporation•Detroit, MI

7d•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 service. The representative greets patients, completes registration, explains and secures required legal and hospital forms, scans protected health information, and prepares patient information packets. The role may also assist with diagnostic procedure scheduling and post-discharge care coordination. The representative educates patients about financial liabilities; performs cash reconciliation and secured payment entry; verifies medical necessity, insurance, benefits, coverage, and eligibility; completes financial-clearance work-list activities; obtains authorizations; and notifies payors of inpatient visits. Employees must perform essential duties in at least two Patient Access service areas, including the Emergency Department. The position is based at Detroit Receiving Hospital and is full-time, with evening hours from 3 p.m. to 11 p.m. Availability to work hours and days as needed based on departmental or system demands is required.

Requirements

High school diploma or GED required.
0–1 year of experience in a customer service role.
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 duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use proper 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.
As applicable and permitted by law, candidates must obtain and provide confirmation of required vaccinations and screenings before employment begins; these may include COVID-19 and influenza vaccinations and future required vaccines or screenings.

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 according to Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain complete, accurate demographic information.
Follow financial and cash control policies and procedures; perform cash reconciliation and secured payment entry.
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 when needed, enter information into scheduling systems, and provide appointment instructions.
Educate patients about financial liabilities and use compliant techniques to collect amounts owed before, during, and after service.
Complete medical-necessity checks and verification 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 when needed.
Perform essential job 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 raised by physician offices and patients.