Patient Access Representative ED

Tenet Healthcare Corporation•San Antonio, TX

1d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency through scheduling, registration, patient 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 representative greets patients according to Conifer Standards of Care, provides customer service, completes registrations, explains and obtains required hospital and patient legal forms, and scans and files protected health information. The role may assist with scheduling diagnostic procedures and coordinating post-discharge care. It also includes verifying insurance, benefits, coverage, eligibility, and medical necessity; obtaining authorizations and inpatient visit notifications; completing financial-clearance work; and reconciling and entering payments according to cash-control policies. The position is based at Westover Hills and is scheduled Wednesday through Saturday, 1 p.m. to 1 a.m. Employees must be available to work hours and days as needed based on departmental and system demands. The work takes place in hospital administration and may involve patient-care locations with potential exposure to life-threatening patient conditions.

Requirements

High school diploma or GED required.
0–1 year in a customer service role.
Minimum typing speed of 35 words per minute.
Working knowledge of PC, CRT, and printer use.
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.
Must be able to perform the essential functions, with reasonable accommodations where applicable.
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.
0–1 year of administrative experience in a medical facility, health insurance, or a related area.
Some college coursework.

Responsibilities

Greet patients in accordance with Conifer Standards of Care and provide customer service.
Complete patient registration and obtain accurate demographic information at the date of service.
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 in the scheduling system, and providing appointment instructions, as needed.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Reconcile hospital cash and enter secured payments in accordance with financial and cash-control policies.
Verify medical necessity, insurance, benefits, coverage, and eligibility in accordance with applicable requirements.
Complete assigned registration and 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, as needed.
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 physician-office and patient issues.