Patient Access Representative ED

Tenet Healthcare Corporation•El Paso, TX

4d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing functions that may include scheduling, registration, patient 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 the date of service. The representative works at The Hospitals of Providence Sierra Campus in a hospital administration and patient-care setting. The position requires Spanish and availability for rotating day, evening, night, and weekend shifts. Employees must be able to work all shifts; schedules are provided four weeks in advance. Availability may also be needed on hours and days determined by departmental or system demands. The role involves customer service, patient registration and financial clearance, handling patient and insurance information, explaining and obtaining required forms, and coordinating with patients, payors, physician offices, and internal and external clients. Work in patient-care locations may involve potential exposure to life-threatening patient conditions.

Requirements

Spanish language required.
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 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.
Must be able 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 appropriately interpret physician orders, medical terminology, and insurance cards.
Must be available to work rotating day, evening, night, and weekend shifts and all shifts; schedule is known four weeks in advance.
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.

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 accurate patient demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secure payment entry.
Explain and obtain 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 by entering information into the scheduling system, providing appointment instructions, and completing related tasks as needed.
Educate patients about their financial liabilities and use proper, compliant techniques to collect payments before, during, and after the date of service.
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 notifications to payors.
Assist with scheduling and coordinating post-discharge care for patients as needed.
Perform essential duties in at least two Patient Access service areas, including the Emergency Department.
Resolve physician-office and patient issues, and build collaborative relationships that support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Work required hours and days based on departmental or system demands.