A full-time Patient Access Representative II opening at a hospital outpatient facility in El Paso, TX is available for a bilingual (Spanish/English) candidate ready to serve as the front-line connection between patients and the care they need. This day-shift role — with rotating weekend coverage — sits at the intersection of patient experience, financial clearance, and registration operations, making it a strong fit for someone who thrives in a fast-paced hospital environment and takes pride in accurate, compassionate intake work. The position requires cross-functional competency across at least two Patient Access service areas, including the Emergency Department.
Perks and Benefits
- Competitive benefits package commensurate with a large, multi-regional health system
- Day-shift schedule with rotating weekend rotation — no overnight requirement
- Access to leadership development and career advancement resources within a national healthcare network operating in more than 135 local regions
- Reasonable accommodations provided for qualified individuals with disabilities
- E-Verify participating employer — supportive of candidates with work authorization needs
Practice Highlights
- Hospital outpatient setting (Transmountain campus) serving the El Paso, TX community
- Day shift with rotating weekend coverage; schedule flexibility required based on departmental and system volume demands
- Cross-trained to perform essential duties in at least two Patient Access service areas, including the Emergency Department
- Full patient registration at date of service: demographic capture, insurance verification, benefits and eligibility confirmation, and authorization for both scheduled and unscheduled services
- Financial clearance responsibilities include medical necessity checks per CMS guidelines, inpatient visit notification to payors, and coordination of post-discharge care
- Patient liability education and compliant collection of co-pays, balances, and outstanding amounts before, during, and after date of service; hospital cash reconciliation and secured payment entry
- Execution and scanning of required legal and compliance documents: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA forms
- Scheduling support for diagnostic procedures, including data entry, patient appointment instructions, and coordination tasks
- High-volume, fast-paced environment with exposure to the full spectrum of patient acuity, including life-threatening conditions in patient care areas
- Collaborative work model requiring strong relationships with both internal departments and external clients (physician offices, payors, community partners)
Qualifications
- Spanish/English bilingual proficiency required
- High School Diploma or GED required; some college coursework preferred
- 0–1 year of customer service experience; 0–1 year of administrative experience in a medical facility, health insurance, or related field preferred
- Minimum typing speed of 35 words per minute; demonstrated working knowledge of PC, CRT, and printer systems
- Ability to interpret physician orders, medical terminology, and insurance cards accurately
- Working knowledge of Third Party Payor requirements and healthcare compliance standards preferred
- Proficiency in patient negotiation and liability collection techniques using compliant, professional methods
- Ability to sit at a computer terminal for extended periods; occasional lifting up to 25 lbs; occasional wheelchair assistance for patients with mobility needs
- Must provide confirmation of all required vaccinations and screenings prior to start of employment, including COVID-19 and influenza vaccinations as applicable and permitted by law
About the Community
El Paso sits at the westernmost tip of Texas, nestled between the Franklin Mountains and the Rio Grande — a city of roughly 700,000 that offers a low cost of living, abundant sunshine, and a deeply bicultural character shaped by its position on the U.S.-Mexico border. Outdoor enthusiasts have immediate access to Franklin Mountains State Park, the largest urban wilderness park in the United States, along with hiking, cycling, and year-round warm weather. The city is home to a strong public and private school system, a vibrant arts and food scene, and Fort Bliss, one of the largest U.S. Army installations in the country, contributing to a diverse and stable community that rewards bilingual professionals.