About The Position

Under the direction of the Admitting Manager, the Patient Access Representative interviews incoming inpatient, outpatient, and emergency department patients to obtain pertinent admission information and produce complete and accurate admission records, including medical record, demographic, and financial information. The role answers admissions inquiries, collects deposits or payments, interacts with nursing units and ancillary departments, and provides directions within the hospital. The position upholds patient-care and service standards, protects confidential information, and supports safe, courteous, and accurate registration. The representative must be cross-trained in inpatient, outpatient, bed board, and emergency room areas and meet the department’s productivity, timeliness, and account-accuracy standards.

Requirements

  • High school diploma or equivalent.
  • At least 2 years of customer service experience.
  • BLS certification, or provide a BLS certificate within 30 days of hire; certification must be maintained annually.
  • M.A.B. certification; new hires must obtain it within 6 months of hire.
  • Ability to push a wheelchair.
  • Ability to work with sick patients and summon medical assistance when needed.
  • Ability to work and cross-train in inpatient, outpatient, bed board, and emergency room areas.
  • Availability to work overtime, holidays, and shift changes as staffing needs require.

Responsibilities

  • Acknowledge patients and guests and respond to their requests promptly, cordially, and completely.
  • Maintain professional dress, grooming, and hygiene, and use tact and discretion in working relationships.
  • Assist with training new employees and promote teamwork among coworkers and other departments.
  • Prioritize patient needs, uphold patient service standards, and demonstrate awareness of patients’ rights and the rights of significant others.
  • Document financial arrangements in patient account notes and notify the Admitting Manager or Business Office Manager about problem accounts requiring special attention.
  • Identify and report safety issues appropriately; remain comfortable working with sick patients and summon medical assistance when needed.
  • Work and cross-train in inpatient, outpatient, bed board, and emergency room areas, and provide directions to hospital destinations.
  • Monitor patient valuables in accordance with hospital policy and procedure.
  • Remain informed about and comply with HIPAA, EMTALA, the Fair Debt and Collection Practices Act, Medicare Secondary Payer requirements, and other applicable laws and regulations.
  • Remain informed about PPO, HMO, Medicare, Medi-Cal, and indigent service programs and requirements for timely claims processing.
  • Complete patients’ electronic medical records and ensure paperwork is sent to the proper destination in a timely manner.
  • Obtain Advance Directive information for inpatient, ER, OPS, and bed patients and accurately enter it in the computer and on Conditions of Admission.
  • Discuss patients’ financial responsibility, collect deposits from self-paying patients and required insurance copayments, explain hospital requirements, make financial arrangements when needed, and complete promissory notes when necessary.
  • Collect and verify information for complete and accurate patient admission records, including medical record numbers, current patient data, copies of insurance and identification cards, authorizations, signatures, insurance details, and demographic information.
  • Participate in the organization-wide Performance Improvement Program, including orientation, education, quality control, and quality planning activities.
  • Understand consent, Advance Directive, and other required forms so their contents can be clearly explained to patients before signatures are obtained.
  • Register at least 20 patients per shift, complete registrations within the department’s 20-minute standard, and maintain an account accuracy rate of at least 80%.
  • Complete and print Emergency Department shift logs.
  • Complete designated courses and demonstrate required competencies within the stated timelines; current employees must pass competency testing every two years.
  • Meet department staffing needs and be available for overtime, holidays, and shift changes.
  • Perform other duties as assigned.
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