Patient Access Representative II **$1,500 Sign On Bonus**

About the position

Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Patient Access Representative II to join our dedicated team. 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.

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.

Requirements

• 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.
• High School diploma or equivalent required.

Nice-to-haves

• Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred.
• Must successfully complete and maintain LA City Fire Card certification within the first 30 days of employment.
• Must successfully complete and maintain Managing Aggressive Behavior certification within 30 days of employment.

Benefits

• Supportive Environment: We prioritize teamwork, professional growth, and a positive work culture.
• Impactful Work: Your role will directly contribute to the smooth operation of our organization.
• Professional Development: We offer continuous learning and advancement opportunities to help you grow in your career.