Patient Access Representative
Checks patients in and makes sure their insurance is active.
$45,926 median pay
About 89,200 openings a year · 12 weeks of training
See the job and what it takes
Tenora Healthcare Operations Program
Learn the work that keeps healthcare running, and practice it in a real work environment before you ever apply for a job.
No experience or degree needed. These are office jobs, not patient care, and many can be done from home.

Most training covers one desk. You’ll learn the doctor’s office side, the clearinghouse, and the health plan side, so you see how your work fits in.
From Week 2, you work in our practice environment every week, with live instructors there to help.
You graduate with a Skills Verification Letter and a record of your real accuracy and production numbers.
There are 14 in all. These six are good places to start. Since you learn the whole process, you can move between them later.
Checks patients in and makes sure their insurance is active.
$45,926 median pay
About 89,200 openings a year · 12 weeks of training
See the job and what it takes
Sets up members at a health plan and processes their claims.
$49,234 median pay
About 17,500 openings a year · 12 weeks of training
See the job and what it takes
Answers calls from patients and doctor’s offices about coverage, claims, and payments.
$44,782 median pay
Hiring at health plans and clinics · 12 weeks of training
See the job and what it takes
Sends the bills out and follows up on the ones that don’t get paid.
$48,506 median pay
About 37,000 openings a year · 12 weeks of training
See the job and what it takes
Checks what a patient’s plan covers before the visit or procedure.
$54,205 median pay
About 12,700 openings a year · 12 weeks of training
See the job and what it takes
Looks at the harder claims and decides what gets paid and why.
$78,000 median pay
About 20,900 openings a year · 12 weeks of training
See the job and what it takes
Jobs people grow into with experience: Collections $47,029, Medical Coder $51,147 (with a coding certification such as the CPC), Operations Supervisor $69,493, Health Information Technologist $68,016, Trainer & Instructor $69,285, Compliance Officer $80,725, Systems Analyst $105,851, Health Services Manager $123,864.
Pay and openings are U.S. figures from the Bureau of Labor Statistics (May 2025 wages, 2025–35 projections). Median means half the people in the job earn more and half earn less. It isn’t a starting salary.
Start with the free guide. Apply only if it looks like a fit.
It covers all 14 jobs, what the 12 weeks include, what the jobs pay, and how people get started. Then decide.
Instructor-led virtual sessions plus self-paced work, with weekly deadlines. From Week 2, you work in a practice environment that runs like a real production floor.
You can start applying in Week 4. You graduate with a certificate, a digital badge, and a Skills Verification Letter showing your performance.
This work isn’t for everyone, and we’d rather tell you now than after you’ve enrolled.
Codes, rules and numbers. If you like getting things exactly right, you’ll do well.
The rules stack up as you go. You set your own pace within the weekly deadlines, and an instructor is there when you get stuck.
That’s normal when you’re new to a field. Starting in Week 4, we prepare you to apply and interview the right way.
Nobody honest can. What we can do is help you show an employer exactly what you know how to do.

Not sure this is for you? The program guide covers all 14 jobs, what the 12 weeks include, and what the work pays. Read it first, then decide.
Our first cohort starts in January 2027. Founding members train at a special founding rate. In return, we ask you to finish the program and share how it went, so the people who come after you can see real results.
20founding seats
Founding member pricing is shared on your admissions call.
Apply for a founding seatYou don’t need any healthcare background. You do need basic computer skills and care with details.
It takes about a minute. There’s no cost to apply.
What happens next
Our instructors bring 30 years across revenue cycle and health plans that manage Medicaid, Medicare, commercial and TPA business: running operations and managed care, with hands-on experience in regulatory and audit, billing and coding, and moving payers onto new systems.
Tenora exists to train people the way the job actually runs, not the way a textbook describes it.

Still wondering about something? The free guide answers a lot more.
No. Most entry-level jobs in this field ask for a high school diploma or equivalent. Employers want someone who can do the work, and that’s what you’ll practice.
No. We start from zero: how a doctor’s visit turns into a bill, who pays it, and why it sometimes gets denied.
Yes. Your certification shows what you know. Tenora shows you can do the work: real queues, production targets, and quality standards, plus a performance record to bring to interviews.
Yes. You join instructor-led virtual sessions and complete self-paced work each week, with weekly deadlines.
Yes. You go at your own pace within weekly deadlines, so it can fit around work.
No, and be careful of anyone who says it will. We train you to be hireable and help you get ready for interviews. You also leave with real data to show employers: your accuracy, production, and quality audit results from the work you did in the environment.
Founding members train at a special founding rate. We share it on your admissions call, after you apply.