Patient Access Representative (Administrative)

Job Summary:

As a Patient Access Representative, you will be responsible for registering patients in a professional and courteous manner. This role includes conducting patient/guarantor interviews, explaining hospital policies, and verifying financial and demographic information for accurate documentation. You will work directly with patients, ensuring that all necessary authorizations and pre-certifications are obtained to meet individual payor requirements. Your role is vital in providing a smooth and welcoming experience for patients.

Education:

• High School diploma or equivalent required
• Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred

Licenses and Certifications:

• Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment.
• Must successfully complete and maintain certification for Mgmt. of Assaultive Behavior (ex. CPI- Non-violent Crisis Intervention) within 30 days of employment.  

Experience:

• • Minimum two (2) years of experience in healthcare, insurance, or a related field.
  • Experience in an inpatient or outpatient admissions setting or a physician's office is preferred.
  • Knowledge of patient accounting, insurance payor systems, and medical terminology.
  • Strong communication skills, both written and verbal, to interact with patients, payers, and hospital staff.
  • Ability to work both independently and as part of a team.
  • Computer literacy required.
  • Bilingual (Spanish) preferred.

 Responsibilities:

• Interview and register patients in compliance with hospital policies.
• Ensure adherence to EMTALA rules and regulations during emergency department registration.
• Accurately input demographic and financial data into the system to ensure proper revenue routing.
• Validate and update patient information as needed, maintaining a 97% accuracy level.
• Scan all necessary documents, including insurance cards, personal identification, and driver's licenses.
• Obtain insurance information and verify patient coverage, ensuring accounts reflect correct details.
• Secure pre-certifications/authorizations in accordance with payor protocols.
• Collect deposits, copays, deductibles, and payments for non-covered services.
• Utilize tools to ensure compliance with payor payment authorization protocols.
• Assist patients with completing financial packets and establishing financial arrangements according to hospital policies.
• Complete the Advanced Beneficiary Notification for Medicare patients as required.
• Record and maintain comments in the system to ensure accurate follow-up.
• Assist the admitting supervisor and director with patient-related duties as needed.
• Manage patient room assignments in collaboration with nursing staff and ensure proper placement.
• Provide professional and courteous service to patients, families, visitors, and hospital staff.

General Responsibilities:

• Maintain a professional atmosphere in the hospital at all times.
• Adjust to changes in department schedules as required, filling in during emergencies when necessary.
• Respect patients' privacy in accordance with the Patient's Bill of Rights and HIPAA regulations.
• Attend and participate in departmental meetings, staying informed on all communicated updates.
• Ensure smooth teamwork and cooperation with other departments.
• Foster a positive public image by interacting professionally with patients and visitors.

Work Environment:

• Primarily an indoor building/office environment with good lighting and ventilation.
• Fast-paced work with variable workload and frequent interruptions.
• Frequent interaction with staff, patients, and the public under diverse circumstances.
• Occasionally exposed to emotional situations involving accidents, illness, or death.
• Potential exposure to hazards from chemicals, flammable materials, and equipment.

Physical Demands:

• Continuous (66-100%): Sitting and standing/walking with frequent position changes.
• Frequent (33-65%): Reaching, grasping, and using hands for fine motor tasks.
• Occasional (0-32%): Lifting and carrying objects up to 25 pounds.
• Continuous use of near vision, hearing, and verbal communication to interact with patients and staff.

 Salary Range: $24.00 to $26.57 per hour

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