Patient Access Representative ED

Tenet Healthcare Corporation•El Paso, TX

4d•Onsite

About The Position

The Patient Access Representative 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. The position is based at the THOP Memorial Campus and is a full-time evening role, scheduled 3:00 p.m.–11:30 p.m. with rotating weekends. Spanish is required. The representative provides customer service and completes patient registration, explains and obtains required hospital and patient legal forms, scans protected health information, and prepares patient information packets. The role also educates patients about financial liabilities, verifies insurance and medical necessity, obtains authorizations and payer notifications, performs financial clearance activities, and handles payments in accordance with financial and cash-control policies. Depending on departmental needs, the representative may assist with diagnostic scheduling and coordination of post-discharge care. Candidates must meet applicable vaccination and screening requirements before starting employment. The work is performed in a hospital-administration environment and may include patient-care locations with potential exposure to life-threatening patient conditions. The position requires availability to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED required.
0–1 year of experience in a customer service role.
Spanish language ability required.
Minimum typing speed of 35 words per minute.
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 build and maintain collaborative relationships that support effective communication, productivity, and accuracy.
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 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 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 accurate demographic information.
Follow financial and cash-control policies and procedures, including payment entry and hospital cash reconciliation.
Explain and obtain required hospital and patient legal forms, including advance directives, conditions of service, treatment consent, Medicare notices, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for upcoming hospital services.
Educate patients about financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform medical-necessity checks and verify insurance, benefits, coverage, and eligibility.
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.
As needed, assist with scheduling diagnostic procedures and providing appointment instructions.
As needed, assist with scheduling and coordinating post-discharge care.
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.
Resolve issues from physician offices and patients and build collaborative relationships with internal and external clients.