About The Position

Under the direction of the Admitting Manager, the Patient Access Representative interviews incoming inpatient, outpatient, and emergency department patients to obtain the information needed for admission and create complete, 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 directs patients and guests to locations within the hospital. The position requires work and cross-training across Inpatient, Outpatient, Bed Board, and Emergency Room areas. Patient care and service are priorities, and the representative must be comfortable assisting sick patients and able to summon medical assistance when needed. This is a per-diem, evening-shift role, scheduled from 3:00 p.m. to 11:30 p.m. The hourly salary range is $25.75–$34.65.

Requirements

  • High school diploma or equivalent.
  • At least 2 years of customer service experience.
  • Must be BLS certified or provide a BLS certificate within 30 days of hire; the posting also states BLS certification must be maintained yearly.
  • M.A.B. certification is required; new hires must obtain it within 6 months of hire.
  • Must be able to push a wheelchair.
  • Must be comfortable working with sick patients and able to summon medical assistance when needed.
  • Must be able to work and cross-train in Inpatient, Outpatient, Bed Board, and Emergency Room areas.
  • Must be willing to meet departmental staffing needs, including availability for overtime, holidays, and shift changes.
  • Must remain informed and compliant with HIPAA, EMTALA, the Fair Debt and Collection Practices Act, Medicare Secondary Payer requirements, and other laws and regulations governing Patient Financial Services.
  • Must remain informed about PPO, HMO, Medicare, Medi-Cal, and indigent service programs and requirements for timely claims processing.

Responsibilities

  • Acknowledge patients and guests, respond promptly and cordially to requests, and make patients’ needs the first priority.
  • Maintain professional dress, grooming, and hygiene; use tact and discretion in workplace relationships; and promote teamwork among coworkers and departments.
  • Assist in training new employees.
  • Protect patient rights, confidential information, and valuables in accordance with hospital policy and applicable requirements.
  • Identify and report safety concerns and summon medical assistance when needed.
  • Interview incoming patients and collect information needed to create complete and accurate admission records, including medical record, demographic, and insurance information.
  • Select correct medical record numbers; gather patient data; copy insurance and identification cards; obtain authorizations and signatures; and send required paperwork to the proper destination in a timely manner.
  • Obtain Advance Directive information for inpatient, ER, OPS, and bed patients, and accurately record it in the computer and Conditions of Admission.
  • Explain consent and other required forms so patients understand their contents before signing.
  • Discuss patients’ financial responsibilities, collect required deposits and copayments, make financial arrangements when needed, and complete promissory notes when necessary.
  • Document financial arrangements in account notes and notify the Admitting Manager or Business Office Manager about problem accounts requiring special attention.
  • Answer admissions inquiries, interact with nursing units and ancillary departments, and direct patients and guests to the appropriate hospital locations.
  • Remain informed about applicable laws, regulations, insurance plans, and service-program requirements relevant to Patient Financial Services and timely claims processing.
  • Participate in the organization-wide Performance Improvement Program, including orientation, education, and quality-control and quality-planning activities.
  • Meet department productivity and timeliness standards: register at least 20 patients per shift, complete registrations within the 20-minute department 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 specified timeframes; 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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