Patient Access Representative **Sign-On Bonus $1500** (Administrative)
Job Summary:
As a Patient Access Representative II, you will be responsible for performing advanced patient access duties, including scheduling, pre-registration, registration, and financial clearance. This role ensures accurate data entry into Meditech, securing pre-certifications, and verifying insurance coverage while providing excellent customer service. The Patient Access Representative III plays a critical role in maintaining smooth patient access operations and assists the supervisor in overseeing staffing schedules and resolving complex patient inquiries.
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 of two (2) years of experience as a Patient Access Services Representative
- Strong computer literacy skills
- Excellent communication and public relations skills
- Knowledge of medical terminology
- Bilingual (Spanish) preferred
- Strong organizational and documentation skills.
Responsibilities:
- Accurately schedule and pre-register elective procedures and services.
- Pre-register and schedule patients using Meditech Community Wide Scheduling (CWS) module.
- Ensure proper physician orders and adherence to hospital regulations for scheduling.
- Obtain and verify financial and demographic data necessary for patient registration.
- Verify insurance benefits and eligibility for services and ensure pre-certifications/authorizations are obtained according to payor requirements.
- Obtain Letters of Agreement for patients capitated to other facilities and ensure financial clearance is in place before the patient's procedure.
- Calculate patient financial responsibilities and negotiate payments with private pay and underinsured patients.
- Assist in obtaining payments for co-pays, deductibles, and non-covered services.
- Assist patients with information about financial options, including cash, check, credit card, and bank financing.
- Maintain an accuracy level of 97% in data entry for patient demographics and financial information.
- Collaborate with the Supervisor or Director to resolve escalated issues or problem accounts.
- Ensure compliance with EMTALA regulations for Emergency Department registrations.
- Maintain patient privacy and adhere to HIPAA standards.
- Provide transportation escort and services for patients as needed.
- Perform additional duties as assigned, ensuring flexibility to work in all areas of Patient Access Services.
General Responsibilities:
- This position is designed for a detail-oriented individual with strong communication and organizational skills, committed to delivering high-quality patient access services.
- The Patient Access Representative III ensures the smooth functioning of patient scheduling, pre-registration, and registration processes, contributing to the overall efficiency of the hospital's operations.
- Comply with VPH policies, demonstrating professionalism and cultural sensitivity.
- Communicate accurately and supportively with team members, demonstrating effective business writing and oral communication skills.
- Actively participate in performance improvement activities and department-specific training.
- Demonstrate knowledge of safety practices, including infection control protocols.
- Contribute to the Patient Safety Program by reporting near misses and participating in education activities.
Salary Range: $23.00 to $26.57 per hour
