About The Position

Under the direction of the Admitting Manager, the Patient Access Representative interviews incoming inpatient, outpatient, and emergency department patients to collect pertinent admission information and create complete, accurate admission records, including medical record, demographic, and financial information. The role answers admissions inquiries, collects deposits or payments, works with nursing units and ancillary departments, and directs patients and guests around the hospital. The representative provides courteous, patient-centered service while safeguarding confidential information and patient valuables. They complete electronic medical records and required paperwork, obtain and document advance directive information, explain patient forms and financial responsibilities, collect required insurance and demographic details, secure authorizations and signatures, and make financial arrangements when needed. The role also assists with training new employees and may be cross-trained in inpatient, outpatient, bed board, and emergency room areas. Employees must meet registration productivity, timeliness, and accuracy standards; complete shift logs; maintain required certifications and competencies; and comply with applicable laws, regulations, hospital policies, and patient financial services requirements. The position is per diem, with an 8-hour evening shift from 3:00 PM to 11:30 PM. Employees must be available for overtime, holidays, and shift changes as staffing needs require.

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; BLS certification must be maintained annually.
  • M.A.B. certification is required; new hires must obtain it within 6 months of hire.
  • Must be physically able to push a wheelchair.
  • Must be comfortable working with sick patients and able to summon medical assistance when needed.
  • Must be willing to meet staffing needs, including overtime, holidays, and shift changes.
  • Must complete required courses and demonstrate the ability to perform designated competencies within the stated deadlines.
  • Must meet registration productivity, timeliness, and account accuracy standards.

Responsibilities

  • Interview incoming inpatient, outpatient, and emergency department patients to obtain admission information and produce complete and accurate admission records.
  • Collect and verify patient medical record, demographic, insurance, and financial information, including photocopying insurance and identification cards and obtaining authorizations and signatures.
  • Complete the patient’s electronic medical record and ensure required paperwork reaches the proper destination in a timely manner.
  • Obtain and accurately record advance directive information for inpatient, emergency room, outpatient, and bed patients.
  • Explain consent forms, advance directives, and other required documents so patients understand them before signing.
  • Discuss patients’ financial responsibilities; collect 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 inquiries about admissions, interact with nursing units and ancillary departments, and direct patients and guests to appropriate hospital locations.
  • Acknowledge patients and guests and respond promptly, cordially, and completely to requests, making patient needs the first priority.
  • Protect confidential information and monitor patient valuables in accordance with hospital policy and procedure.
  • Maintain awareness of safety concerns, report unsafe conditions, and summon medical assistance when needed.
  • Work and cross-train in inpatient, outpatient, bed board, and emergency room areas as required.
  • Assist in training new employees and promote teamwork among coworkers and other departments.
  • Meet the department goal of registering at least 20 patients per shift, perform registrations within the 20-minute standard, and maintain an account accuracy rate of at least 80%.
  • Complete and print Emergency Department shift logs.
  • Remain informed about and comply with HIPAA, EMTALA, 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 claim processing.
  • Participate in the organization-wide Performance Improvement Program, including orientation, education, quality control, and quality planning activities.
  • Complete designated courses and demonstrate required competencies within the specified timeframes.
  • Perform other duties as assigned.
  • Be available to meet departmental staffing needs, including overtime, holidays, and shift changes.
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