Patient Access Rep I- Centralized Scheduling

Torrance Memorial Medical Center • Torrance, CA

5d

About The Position

Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided. This role involves collecting required data elements for the intake process, utilizing the hospital bed board/patient tracking system, and maintaining knowledge of various sponsored programs, payers, and authorization requirements. The position also requires validating patient eligibility and benefits, obtaining insurance verification, explaining regulatory documents to patients, and collecting patient financial responsibility payments. Additionally, the role includes greeting customers, answering telephones, complying with departmental policies, entering data for bed polls and notifications, participating in interdepartmental committees, completing the Midnight Census, and participating in performance improvement activities.

Requirements

• 1 year healthcare revenue cycle, medical industry or customer service experience.

Responsibilities

• Collects all required data elements to complete the intake process within the hospital revenue cycle system.
• Utilizes hospital bed board/patient tracking system to track and arrange proper placement of patient on nursing units.
• Maintains basic working knowledge of all sponsored programs such as Medicare, Medi-Cal, Tricare and all other payers; as well as contracted insurance payers and authorization requirements.
• Maintains proficient working knowledge of Medicare Secondary Payor Questionnaire policy and procedures.
• Validates patient eligibility, benefits, and medical group affiliation as well as obtaining insurance verification and notification as needed. Validation may be performed via the telephone, payer website, or hospital registration application.
• Demonstrates basic working knowledge of all department/regulatory generated documents and is able to explain their meaning to patients and obtains appropriate initials/signatures.
• Bands patients appropriately and distributes labels/face sheets as necessary during the registration process.
• Collects and returns patient valuables in accordance with department procedure in designated areas.
• Creates estimates, requests, and collects patient financial responsibility payments for hospital services.
• Greets customers promptly ensuring they are taken care of in a timely and professional manner.
• Answers the telephone courteously within three rings, identifying self and department, routes calls, ascertains needs and takes accurate messages as appropriate.
• Complies with departmental policies and procedures, demonstrates basic working knowledge of policies and procedures.
• References policies and procedures to explain to patient's, families, and physicians and other hospital staff.
• Enters data related to HAV bed polls and notification to the administrative house supervisors/ or designee of any alerts via Reddi-Net when necessary.
• Participates in interdepartmental committees and taskforce representing the Patient Access department.
• Completes the Midnight Census compare and accurately makes all necessary changes in all applicable systems nightly as needed.
• Participates in daily performance improvement huddles and hospital performance improvement activities using lean tools and techniques.
• Reviews physician order for completeness to ensure compliance during intake process.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed