Lead Patient Access Representative, Variable Shift

Adventist Health•Clearlake, CA

About The Position

Job Requirements: Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. Job Summary Cost Accounting Type: Fixed Direct Exempt: No Performs as a member of an assigned team to perform those tasks required to support the activiies in a designated area. This position is represented by RCHEA. Standards of Behavior Line of Responsibility and Authority Lead PRA - Admitting Supervisor Licenses and Certifications Professionalism and Self-Development Education and Qualifications EDUCATION AND EXPERIENCE: Associates degree preferred EDUCATION AND EXPERIENCE: High school diploma or GED EDUCATION AND EXPERIENCE: Two years previous experience in hospital admissions or insurance verification QUALIFICATIONS: Able to file alphabetically QUALIFICATIONS: Able to organize and maintain good follow-up QUALIFICATIONS: Able to type quickly and accurately QUALIFICATIONS: Able to work independently with minimal supervision QUALIFICATIONS: Excellent written and verbal communication skills. QUALIFICATIONS: Knowledge of insurance and billing procedures preferred QUALIFICATIONS: Knowledge of medical terminology preferred QUALIFICATIONS: Working knowledge of basic office and clerical skills Physical Requirements/Work Environment/Use of Senses and Communications Skills ACCOMMODATIONS: The physical demands and work environment characteristics described here are representative of those an employee typically encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the key responsibilities and essential functions CONFIDENTIALITY: Employee must conform with all HIPAA and other confidentiality regulations as required by the job, department, or hospital EQUIPTMENT USED: Computer, telephone-voicemail system, laser printer PHYSICAL REQUIREMENTS (a): This job requires frequent bending, squatting, kneeling, climbing, reaching above shoulders, sitting, walking inclines and declines, standing, talking, hearing, and performing repetitive hand motions. Vision requirements include close vision and the ability to adjust focus. The employee will occasionally lift boxes and/or supplies weighing up to 25 pounds. The employee must demonstrate lifting a 25-pound box from the floor. POTENTIAL EXPOSURE TO BLOOD & BODY FLUIDS: Category 3 for potential exposure to blood/body fluids. (Does not require the performance of procedures or other tasks in the work routine that involve exposure to blood, body fluids or tissues, and the assisting in cases of emergency medical care or first aid is not a requirement of employment. Tasks that involve handling of implements or utensils, use of the public or shared bathroom facilities, telephones, and personal contacts such as handshaking, are all considered Category 3 tasks.) Job Roles Lead Patient Access Representative (AHCL) AGES SERVED (None): No age specific competency required Assist in the completion of and ensuring the staff schedule is correct. Assists department manager in the monitoring of Quality Indicator Reports. Assists with employee and patient complaints in the absence of the Department Manager. Assists with training of new hires. Assists, when necessary, with other pre-registration workload. Attends required meetings. Completes preadmissions as far in advance as possible (department standard is not less than three days prior to services; exception is last minute add-ons). Facilitates proactive leadership. Maintains and meets expectations on time for all competencies, license, certifications and education requirements as outlined by local administration, Adventist Health (AH), The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and all other regulatory agencies. Maintains good communication with physician offices to obtain information necessary to complete the preadmissions. Provides Admitting-PBX staff relief during breaks, lunch, vacation and sick-disability leave. Provides coverage and-or assistance when necessary to maintain quality standards of the department. Provides Outpatient Surgery Center or Outpatient Registration with the account paperwork prior to the day of service. Reviews pre-admitted accounts post day of service to determine if patient was no show or procedure was canceled. Accounts still in a pre-admit status should be canceled, rescheduled, or converted to outpatient so billing may take place. Verifies patient insurance coverage and benefits prior to admission; notifies patient of any financial responsibilities and arranges for payment. Works closely with centralized and departmental scheduling to ensure timely receipt of all schedules. Willingly performs other duties and innovations as assigned.

Requirements

Associates degree preferred
High school diploma or GED
Two years previous experience in hospital admissions or insurance verification
Able to file alphabetically
Able to organize and maintain good follow-up
Able to type quickly and accurately
Able to work independently with minimal supervision
Excellent written and verbal communication skills.

Nice To Haves

Knowledge of insurance and billing procedures preferred
Knowledge of medical terminology preferred
Working knowledge of basic office and clerical skills

Responsibilities

Assist in the completion of and ensuring the staff schedule is correct.
Assists department manager in the monitoring of Quality Indicator Reports.
Assists with employee and patient complaints in the absence of the Department Manager.
Assists with training of new hires.
Assists, when necessary, with other pre-registration workload.
Attends required meetings.
Completes preadmissions as far in advance as possible (department standard is not less than three days prior to services; exception is last minute add-ons).
Facilitates proactive leadership.
Maintains and meets expectations on time for all competencies, license, certifications and education requirements as outlined by local administration, Adventist Health (AH), The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and all other regulatory agencies.
Maintains good communication with physician offices to obtain information necessary to complete the preadmissions.
Provides Admitting-PBX staff relief during breaks, lunch, vacation and sick-disability leave.
Provides coverage and-or assistance when necessary to maintain quality standards of the department.
Provides Outpatient Surgery Center or Outpatient Registration with the account paperwork prior to the day of service.
Reviews pre-admitted accounts post day of service to determine if patient was no show or procedure was canceled.
Accounts still in a pre-admit status should be canceled, rescheduled, or converted to outpatient so billing may take place.
Verifies patient insurance coverage and benefits prior to admission; notifies patient of any financial responsibilities and arranges for payment.
Works closely with centralized and departmental scheduling to ensure timely receipt of all schedules.
Willingly performs other duties and innovations as assigned.