Patient Access Representative ED

Tenet Healthcare Corporation•San Antonio, TX

1d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing patient 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 St Luke's Baptist Hospital and is scheduled Sunday through Wednesday, 7 a.m. to 7 p.m. The representative greets patients and provides customer service, completes registrations, explains and obtains required legal forms, scans protected health information, and prepares patient information packets. The role may also assist with scheduling diagnostic procedures and coordinating post-discharge care. It verifies insurance, benefits, coverage, and eligibility; completes financial-clearance work; obtains authorizations and inpatient visit notifications; and follows hospital cash-control and reconciliation procedures. The work is performed in a hospital administration setting and may take place in patient-care areas where there is potential exposure to life-threatening patient conditions. The employee must be prepared to work hours and days as needed based on departmental or system demands.

Requirements

High school diploma or GED.
0–1 year in a customer service role.
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 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.
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 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 patient 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, Medicare notices, 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 scheduling systems, and providing appointment instructions, as needed.
Educate patients about their financial liabilities and use proper, compliant techniques to collect amounts owed before, during, and after the date of service.
Perform hospital cash reconciliation and securely enter payments 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 and financial-clearance work-list activities; obtain 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.
Work 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 physician-office and patient issues.