Patient Access Representative II

Tenet Healthcare Corporation•Phoenix, AZ

5d•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. The position is based at Abrazo Central Campus and is scheduled Wednesday through Saturday, 6 a.m. to 6 p.m.; availability may also be required as needed based on departmental or system demands. The representative greets patients and provides customer service, completes registrations, explains and obtains required legal and hospital forms, scans protected health information, and prepares patient information packets. The role educates patients about financial liabilities, handles payments and cash reconciliation, verifies medical necessity and insurance information, completes financial-clearance work, obtains authorizations, and notifies payors of inpatient visits. It may also involve scheduling diagnostic procedures and coordinating post-discharge care. The work is performed in hospital administration and may take place in patient-care locations with potential exposure to life-threatening patient conditions. The role requires frequent standing, sitting, and walking, extended periods at a computer, occasional lifting or carrying of items up to 25 pounds, and occasional wheelchair assistance.

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 PCs, CRTs, and printers.
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 job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to interpret physician orders, medical terminology, and insurance cards.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment, 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.
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 patient registration at the date of service and obtain complete and accurate demographic information.
Explain and secure required 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, entering information into the scheduling system and providing appointment instructions as needed.
Educate patients about financial liabilities and use proper, compliant collection techniques before, during, and after the date of service.
Perform hospital cash reconciliation and enter secured payments in accordance with financial and cash-control policies and procedures.
Secure 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 for patients as needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Professionally collect amounts owed by patients or guarantors using appropriate negotiation techniques.
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.