Patient Access Representative - ED Per diem
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 to join our dedicated team. As a Patient Access Representative, you will be responsible for registering patients in a professional and courteous manner. This role includes conducting patient/guarantor interviews, explaining hospital policies, and verifying financial and demographic information for accurate documentation. You will work directly with patients, ensuring that all necessary authorizations and pre-certifications are obtained to meet individual payor requirements. Your role is vital in providing a smooth and welcoming experience for patients.
Requirements
- Minimum two (2) years of experience in healthcare, insurance, or a related field.
- Knowledge of patient accounting, insurance payor systems, and medical terminology.
- Strong communication skills, both written and verbal, to interact with patients, payers, and hospital staff.
- Ability to work both independently and as part of a team.
- Computer literacy required.
- High School diploma or equivalent required
- 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
Nice To Haves
- Experience in an inpatient or outpatient admissions setting or a physician's office is preferred.
- Bilingual (Spanish) preferred.
- Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred
Responsibilities
- Interview and register patients in compliance with hospital policies.
- Ensure adherence to EMTALA rules and regulations during emergency department registration.
- Accurately input demographic and financial data into the system to ensure proper revenue routing.
- Validate and update patient information as needed, maintaining a 97% accuracy level.
- Scan all necessary documents, including insurance cards, personal identification, and driver's licenses.
- Obtain insurance information and verify patient coverage, ensuring accounts reflect correct details.
- Secure pre-certifications/authorizations in accordance with payor protocols.
- Collect deposits, copays, deductibles, and payments for non-covered services.
- Utilize tools to ensure compliance with payor payment authorization protocols.
- Assist patients with completing financial packets and establishing financial arrangements according to hospital policies.
- Complete the Advanced Beneficiary Notification for Medicare patients as required.
- Record and maintain comments in the system to ensure accurate follow-up.
- Assist the admitting supervisor and director with patient-related duties as needed.
- Manage patient room assignments in collaboration with nursing staff and ensure proper placement.
- Provide professional and courteous service to patients, families, visitors, and hospital staff.
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.
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What This Job Offers
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
