Access Care Specialist

Northridge Hospital Medical Center • Los Angeles, CA

1d • $29 - $36 • Onsite

About The Position

The Access Care Specialist preregisters and registers patients, explains hospital policies and financial responsibilities, and facilitates efficient admissions. The role manages patient financial clearance, including identifying and collecting accurate information, verifying insurance, explaining payment assistance programs, securing payment, and completing applications for government aid or payment assistance. Responsibilities also include collecting liabilities, calculating payments, and interviewing patients to resolve missing or outstanding information. Success requires organization, effective communication, attention to detail, compassion in patient interactions, and knowledge of insurance and assistance programs.

The specialist maintains current knowledge of admission, registration, and preregistration requirements across areas such as Main Admitting, OP Registration, Maternity, and Rehabilitation Units. The role completes preregistration for assigned accounts at least five days before scheduled services whenever possible; verifies insurance eligibility and benefits; obtains and documents referral, authorization, and precertification information; and ensures payers receive required notices of admission. The specialist also meets applicable CMS billing and documentation requirements, including those related to the MSP, Important Message from Medicare, and Observation Notice.

The position is with Dignity Health - Northridge Hospital Medical Center, a 394-bed, acute care, nonprofit hospital founded in 1955. The hospital serves more than 80,000 patients annually and offers services including a Level II Trauma Center, heart care, cancer care, and women’s health. It is the San Fernando Valley’s only pediatric trauma center.

Requirements

• High school diploma or GED.
• At least 2 years of experience in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, or another revenue cycle-related role.
• At least 1 year of customer service experience, preferably in a healthcare environment.
• Fire Safety certification or training within 90 days.

Nice To Haves

• 3 years of experience in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, or another revenue cycle-related role.
• Customer service experience in a healthcare environment.

Responsibilities

• Maintain current knowledge of admission, registration, and preregistration requirements for areas including Main Admitting, OP Registration, Maternity, and Rehabilitation Units.
• Complete preregistration for assigned accounts at least five days before scheduled services whenever possible.
• Verify insurance eligibility and benefits using electronic verification systems or by contacting payers directly, using approved scripting when required.
• Obtain referral, authorization, and precertification information and document it in the ADT system.
• Ensure the payer receives a Notice of Admission for scheduled and non-scheduled admissions within 24 hours or by the next business day, when appropriate.
• Meet CMS billing requirements for the MSP and for issuing the Important Message from Medicare, the Observation Notice, and other applicable notices; document completion in the hospital information system for regulatory compliance and audit purposes.
• Preregister and register patients, explain policies and financial responsibilities, and facilitate admissions.
• Manage patient financial clearance, including collecting accurate information, explaining assistance programs, securing payment, completing government aid and payment assistance applications, collecting liabilities, calculating payments, and interviewing patients to resolve outstanding information.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED