Patient Access Representative II

Tenet Healthcare Corporation•Fort Mill, SC

2d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency through 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. Based at Piedmont Medical Center, the position greets and registers patients, provides customer service, explains and secures required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The representative may also schedule diagnostic procedures and coordinate post-discharge care. Responsibilities include educating patients about financial liabilities, reconciling hospital cash, entering secured payments, checking medical necessity, verifying insurance and eligibility, completing financial-clearance work, obtaining authorizations, 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. The work is in hospital administration and may take place in patient-care locations with potential exposure to life-threatening patient conditions. The specified shift is Thursday 7 a.m.–7 p.m., Friday 11 a.m.–5 p.m., and Saturday–Sunday 7 a.m.–7 p.m.; additional availability may be required based on departmental or system demands. Candidates may be required, as applicable and permitted by law, to provide confirmation of required vaccinations and screenings before starting employment.

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 job duties in at least two Patient Access service areas, including the Emergency Department.
Ability to use professional negotiation techniques to collect money owed by patients or guarantors.
Ability to interpret physician orders, medical terminology, and insurance cards.
Availability to work hours and days as needed based on departmental or system demands.
Must obtain and 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 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.
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, entering information into the scheduling system, providing appointment instructions, and completing related tasks as needed.
Educate patients about their financial liabilities and use proper, compliant techniques to collect patient payments before, during, and after service.
Perform hospital cash reconciliation and secured payment entry in accordance with financial and cash-control policies.
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 for patients 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 physician offices and patients.