Patient Access Representative III - Main Admitting

Tenet Healthcare Corporation•Phoenix, AZ

2d•Onsite

About The Position

The Patient Access Representative III supports departmental efficiency through patient registration, pre-admission and admission, reception, discharge, referrals to hospital support services, and related patient access functions. The role analyzes admission, discharge, and transfer (ADT) and revenue cycle reports, leads shift Patient Access Operations, and collaborates with department leaders on process and operational excellence. The working location is Abrazo Central Campus, with a stated schedule of Sunday through Wednesday, 12 p.m. to 12 a.m. The representative provides customer service and completes patient registration, explains and secures required hospital and patient legal forms, scans protected health information, and prepares patient information packets. Duties also include financial counseling and compliant patient-liability collections, payment entry and cash reconciliation, insurance and benefits verification, medical-necessity checks, financial clearance work, authorizations, and inpatient visit notifications to payors. The representative may assist with procedure scheduling and interviews, and explain hospital procedure guidelines and policies. The position requires the ability to perform essential duties in at least three Patient Access service areas, including the emergency department. Candidates must meet applicable vaccination and screening requirements before employment, as permitted by law. The work takes place in hospital administration and may include patient-care locations with potential exposure to life-threatening patient conditions. Work hours and days may also vary as needed to meet departmental or system demands.

Requirements

High school diploma or GED.
2–4 years of experience in a medical facility, health insurance, or related area.
Minimum typing speed of 35 words per minute.
Working knowledge of software, systems, equipment, and personal computers.
Advanced customer-service skills and experience.
Ability to work in a fast-paced environment and communicate detailed information orally and in writing.
Ability to use professional negotiation techniques to collect money owed by patients or guarantors.
Ability to build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Ability to perform essential job duties in at least three Patient Access service areas, including the emergency department.
Must be available to work hours and days as needed based on departmental or system demands.
Must obtain and provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law.
Must be able to sit at a computer terminal for extended periods, frequently stand, sit, and walk for prolonged periods, occasionally lift or carry items up to 25 pounds, and occasionally push a wheelchair to assist patients with mobility problems.

Nice To Haves

Knowledge of functions and relationships within a hospital environment.
Advanced understanding of third-party payor requirements.
Advanced understanding of compliance standards.
Advanced patient-liability collection performance and high productivity.
At least two years of Patient Access experience.
Some college coursework.

Responsibilities

Greet patients according to Conifer Standards of Care and provide customer service.
Complete patient registration; explain and secure hospital and patient legal forms; scan protected health information; and create and file patient information packets or folders.
Adhere to financial and cash-control policies and procedures, including payment entry and hospital cash reconciliation.
Provide patient financial counseling, education, and referrals; complete patient-liability collection escalations using compliant collection techniques before, during, and after the date of service.
Verify medical necessity, insurance, benefits, coverage, and eligibility; complete assigned financial-clearance work-list activities; obtain authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notifications to payors.
Perform analysis of admission, discharge, and transfer (ADT) and revenue cycle reports.
Lead shift Patient Access Operations and collaborate with department leaders on process and operational excellence.
May assist with scheduling diagnostic or surgical procedures, conduct physician-office or patient interviews, and explain hospital procedure guidelines and policies.
Resolve physician-office and patient issues.
Perform essential job duties in at least three Patient Access service areas, including the emergency department.