Patient Access Representative - Admitting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

University of Southern California•Los Angeles, CA

About The Position

The Patient Access Representative assists patients with check-in and arrival, applying in-depth knowledge of reception desk and arrival processes. The role coordinates new patients with physicians according to their specialties and schedules, helps collect medical records and history, schedules patients with appropriate physicians, and prepares new-patient charts for physician review. The representative provides insurance information to Financial Counselor Representatives for verification. The position registers and admits patients, verifies patient identity using name and date of birth, checks patients into hospital systems, and collects and enters accurate demographic and financial information. It ensures required documents are obtained and scanned, explains hospital policies, collects payments, and completes payment ledgers. The representative verifies insurance eligibility and benefits, confirms authorizations and pre-certifications, performs required medical-necessity checks, and documents required notices and information in hospital systems. The role uses hospital and professional registration systems and maintains an accuracy score above 89%.

Requirements

High school diploma or equivalent, or equivalent evidence in file.
Excellent communication skills, including proficient speaking, reading, and writing in English.
Comfort with computers and medical terminology.
In-depth knowledge of Cerner, most insurance types, and basic computer programs.
Excellent customer service behavior.
Fire Life Safety Training (LA City); if no card is held upon hire, it must be obtained within 30 days of hire and renewed before expiration. Required within LA City only.

Nice To Haves

One year of hospital experience.

Responsibilities

Assist patients with check-in and arrival and perform reception front-desk processes.
Coordinate new patients with physicians based on care type and physician schedules.
Assist new patients in collecting medical records and history, schedule them with appropriate physicians, and prepare charts for physician review.
Provide insurance information to Financial Counselor Representatives for verification.
Register and admit patients according to policy, using name and date of birth as the two patient identifiers when selecting the medical record.
Ensure patients are checked in to hospital systems.
Collect and enter complete, accurate patient demographic and financial information according to standard operating procedures.
Obtain and scan required documents at registration.
Explain hospital policies regarding insurance benefits, personal items, and valuables.
Collect and record patient payments and complete ledgers for check and cash payments.
Ensure the physician order is complete, including the test ordered, diagnosis, and physician signature; rule-out diagnoses are unacceptable.
Identify and select the appropriate language in ADT and obtain and scan the correct language documents.
Receive patient valuables and place them in the safe according to hospital policy.
Perform medical-necessity checks where required and provide, document, and scan failed-test and Advanced Beneficiary notices as applicable.
Follow the Transfusion Free Policy.
Verify and document insurance eligibility and benefits.
Obtain or ensure verification of required pre-certifications and authorizations.
Use hospital and professional registration information systems and complete all required fields.
Request financial liability when appropriate.
Maintain an accuracy score above 89%.
Assist the Manager or Supervisor with other duties as assigned.