Patient Access Representative II

Tenet Healthcare Corporation•Tucson, AZ

10d•Onsite

About The Position

The Patient Access Representative II supports departmental efficiency by performing functions such as scheduling, registration, pre-admission and admission, reception, and discharge. The role obtains complete and accurate patient demographic information and uses compliant techniques to collect patient liabilities before, during, and after services. The position is based at Carondelet St. Joseph's Hospital and lists a schedule of Sunday through Tuesday, 7 p.m. to 7 a.m., and Wednesday, 8 p.m. to 1:30 a.m. The employee must also be available to work hours and days as needed based on departmental or system demands. The representative greets patients, provides customer service, completes registrations, handles required legal and hospital forms, scans protected health information, and prepares patient information packets. The role also explains financial liabilities, processes and reconciles payments, verifies insurance and medical necessity, obtains authorizations and payer notifications, and completes assigned financial-clearance work. Additional duties may include scheduling diagnostic procedures and coordinating post-discharge care. The role requires the ability to perform essential duties in at least two Patient Access service areas, including the Emergency Department. Employees must obtain and provide confirmation of required vaccinations and screenings before starting, as applicable and permitted by law.

Requirements

High school diploma or GED required.
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 express detailed information through oral and written communications.
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 money owed by patients or guarantors.
Ability to appropriately 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.
Must be able to perform the essential functions, with reasonable accommodations where applicable, including the physical demands described in the posting.

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 complete and accurate demographic information.
Follow financial and cash-control policies and procedures.
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, enter data in the scheduling system, and provide appointment instructions as needed.
Educate patients about financial liabilities and use compliant techniques to collect amounts owed before, during, and after service.
Perform hospital cash reconciliation and secure 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 notification to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Perform essential job duties in at least two Patient Access service areas, including the Emergency Department.
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.
Be available to work hours and days as needed based on departmental or system demands.