Patient Access Representative III

6 days ago


Phoenix, Arizona, United States Tenet Healthcare Full time
Job Summary

We are seeking a highly skilled Patient Access Representative III to join our team at Tenet Healthcare. As a key member of our Patient Access department, you will be responsible for a wide range of duties in support of departmental efficiencies, including registration, patient pre-admission and admission, reception and discharge functions, and arranging support Hospital services requested by patients through referrals.

Essential Duties and Responsibilities
  • Greet customers following Conifer Standards of Care, providing world-class customer service, and complete full patient registration at date of service, adhering to financial & cash control policies & procedures.
  • Provide full patient financial counseling, education & referrals, employing and completing all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after date of service.
  • Secure medical necessity checks/verification in accordance to Centers for Medicare & Medicare services, verify insurance, benefits, coverage & eligibility, complete assigned registration financial clearance work lists activities, obtain insurance authorizations for scheduled & unscheduled Hospital services, and secure inpatient visit notification to payors.
  • Perform thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, lead shift Patient Access Operations, and collaborate with Department leaders in process and operational excellence.
Knowledge, Skills, Abilities
  • Minimum typing skills of 35 wpm.
  • Demonstrated working knowledge of software/system/equipment/PCs.
  • Knowledge of function and relationships within a hospital environment preferred.
  • Advance Customer service skills and experience.
  • Ability to work in a fast-paced environment.
  • Ability to receive and express detailed information through oral and written communications.
  • Course in Medical Terminology required.
  • Advanced Understanding of Third Party Payor requirements preferred.
  • Advanced Understanding of Compliance standards preferred.
  • Advanced Patient Liability Collection performance and high achievement in productivity.
  • Must be able to perform essential job duties in at least three Patient Access service areas including ED.
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy.
Education/Experience
  • High School Diploma or GED required.
  • 2-4 years experience in medical facility, health insurance, or related area.
  • 2+ years in Patient Access preferred.
  • Some college coursework is preferred.
Physical Demands
  • Must be able to sit at computer terminal for extended periods of time.
  • Occasionally lift/carry items weighing up to 25 lbs.
  • Frequent prolonged standing, sitting, and walking.
  • Occasionally push a wheelchair to assist patients with mobility problems.
Work Environment
  • Hospital administration.
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions.


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