Director II- Patient Access
Tenet Healthcare
San Antonio, TX · Posted November 10, 2026
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Where San Antonio, TX ranks
Where San Antonio, TX placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #1Best all-round cities for new graduates in the Southwest67 / 100 · of 15
- #5Cities with the most jobs that do not need a four-year degree in the Southwest136 jobs · of 38
- #5Cities hosting the most business conferences in the Southwest29 conferences · of 16
- #6Best college towns for junior jobs in the Southwest36% · of 32
- #6Cities hosting the most government & public sector conferences5 conferences · of 29
- #7Best cities for pay after cost of living in Texas$123k · of 8
Rankings about clinical jobs
- Best cities for clinical jobs #1 New York (202 openings)
- Employers with the most clinical jobs #1 Veterans Health Administration (215 roles)
How AI is used in this kind of work
AI use among health technologists and technicians, all other is little observed so far. Measured exposure for health technologists and technicians, all other: 4% (little observed).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
About the job
JOB SUMMARY
Manage the daily operations of a Patient Access department to effectively implement process improvements and ensure the safe, timely, accurate processes of patients through the Patient Access flow.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
1. Implement process improvement initiatives as directed and needed to achieve both Conifer and Client goals. Continuously focused on meeting metrics and proactively identifying areas of opportunity by working collaboratively, professionally and fostering positive relationships with both internal and external peers.
2. Develop and implement action plans as identified.
3. Actively practice budget/cost management.
4. Understand and be able to speak to all aspects of Patient Access, from technology, processes and regulations.
5. Consistently manages staffing activities in areas of responsibility. This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training. Grow/Mentor supervisors and ensure staff engagement and commitment to strategy, mission and goals. Communicate proactively and positively with direct supervisor to ensure personal growth in knowledge and skill set.
6. Work positively with Client Services to ensure that client needs/concerns/requests in relation to Patient Access are being addressed proactively and in a way which does not negatively impact efficiencies or operational flows established.
7. Effectively and proactively communicate and address issues that may be impeding performance, including technology or processes.
FINANCIAL RESPONSIBILITY/SCOPE (Specify Revenue/Budget/Expense): Varies based on hospital size, volume and payor mix.
Bed size: 300+
OR
Points of Entry: 8+ (clinic/satellite is 1 POE)
OR
Number of facilities: 2-3 mid-sized hospitals or multi-site]
AND
$200M+ in Net Patient Revenue
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (titles) - Manager or Supervisors, Patient Access
Indirect Reports (titles) - Rep, PA I-IV; Rep, PA Scheduler
Reports to (titles)
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent interpersonal and organizational skills
Demonstrated leadership and management abilities
Ability to manage a budget
Proficiency in Regulatory requirements
Thorough knowledge of Insurance
Ability to Delegate successfully
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Bachelor’s Degree preferred
Three (3) to five (5) years Management in a Revenue Cycle, Business Services, or Acute Health Care environment preferred.
Extensive knowledge of Patient Access desired
Certified Healthcare Access Manager (CHAM) preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
Ability to travel
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office Work Environment
Hospital Work Environment
OTHER
Approximately 25% travel may be required
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!