Patient Access Representative ED

Tenet Healthcare Corporation•El Paso, TX

1d•Onsite

About The Position

The Patient Access Representative supports departmental efficiency by performing 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 services. The representative works in the Emergency Department and must be able to perform essential duties in at least two Patient Access service areas, including the Emergency Department. The position includes greeting and assisting patients, completing registrations, explaining and securing required legal and hospital forms, handling protected health information, and preparing patient information packets. It also involves financial clearance, insurance and eligibility verification, authorization and notification activities, payment processing, and, as needed, scheduling diagnostic procedures and coordinating post-discharge care. The role requires Spanish, customer-service skills, accurate communication, and the ability to work in a fast-paced hospital environment. Candidates must provide confirmation of applicable required vaccinations and screenings before employment begins, as permitted by law.

Requirements

High school diploma or GED required.
Spanish required.
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.
Ability to appropriately interpret physician orders, medical terminology, and insurance cards.
Must provide confirmation of applicable required vaccinations and screenings before the start of employment, as 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.
Zero to one year of customer-service experience.
Zero to one year of administrative experience in a medical facility, health insurance, or related area.
Some college coursework.

Responsibilities

Greet patients in accordance with Conifer Standards of Care and provide customer service.
Complete patient registration at the date of service and obtain complete, accurate demographic information.
Follow financial and cash-control policies and procedures, including cash reconciliation and secure payment entry.
Explain and obtain 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.
As needed, assist with scheduling diagnostic procedures, entering data in the scheduling system, and providing appointment instructions.
Educate patients about financial liabilities and use compliant techniques to collect payments before, during, and after the date of service.
Obtain medical-necessity checks and verify insurance, benefits, coverage, and eligibility in accordance with applicable Centers for Medicare & Medicaid Services requirements.
Complete assigned registration financial-clearance work-list activities, obtain authorizations for scheduled and unscheduled hospital services, and secure inpatient visit notifications to payors.
As needed, assist with scheduling and coordinating post-discharge care.
Build and maintain collaborative relationships with internal and external clients to support effective communication, productivity, and accuracy.
Interpret physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.
Resolve physician-office and patient issues and work hours and days as needed based on departmental or system demands.