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 information for admission and create complete, accurate admission records. Records include medical, demographic, and financial information. The role also answers admission-related inquiries, collects deposits and payments, coordinates with nursing units and ancillary departments, and directs patients and guests to destinations within the hospital. The Patient Access Representative is expected to prioritize patient care and service, protect confidential information and patient valuables, and comply with applicable laws, regulations, and hospital policies. The representative must be cross-trained to work in inpatient, outpatient, bed board, and emergency room areas, and meet department productivity and accuracy standards. This is a full-time, 8-hour day position with scheduled hours from 11:30 a.m. to 8:00 p.m.; the role may require overtime, holidays, and shift changes to meet staffing needs.

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.
  • Availability to work overtime, holidays, and shift changes as needed to meet department staffing needs.
  • Ability to work and be cross-trained in inpatient, outpatient, bed board, and emergency room areas.
  • Comfort working with sick patients and ability to summon medical assistance when needed.
  • Ability to meet registration productivity, timeliness, and account-accuracy standards.

Responsibilities

  • Acknowledge patients and guests and respond promptly, cordially, and completely to their requests.
  • Maintain professional dress, grooming, and hygiene, and demonstrate tact, discretion, and concern in working relationships.
  • Assist with training new employees.
  • Demonstrate awareness of patient and significant-other rights and prioritize patient needs and care.
  • Record financial arrangements in patient account notes and notify the Admitting Manager or Business Office Manager about problem accounts requiring special attention.
  • Follow safety practices and report unsafe conditions appropriately.
  • Work and cross-train in inpatient, outpatient, bed board, and emergency room areas.
  • Know the hospital layout and direct patients and guests to the appropriate destinations.
  • Remain informed about and comply with HIPAA, EMTALA, the Fair Debt Collection Practices Act, Medicare Secondary Payer requirements, and other laws and regulations governing Patient Financial Services.
  • Remain informed about PPO, HMO, Medicare, Medi-Cal, and indigent service program requirements for timely claims processing.
  • Be comfortable assisting sick patients, summon medical assistance when needed, and maintain annual BLS certification.
  • Monitor patient valuables in accordance with hospital policy and procedure.
  • Perform other duties as assigned and promote unity and teamwork with coworkers and other departments.
  • Safeguard confidential information at work and away from the facility.
  • Complete the patient’s electronic medical record and route required paperwork to the proper destination in a timely manner.
  • Obtain and accurately record Advance Directive information for inpatient, emergency room, outpatient, and bed patients, including on the Conditions of Admission.
  • Discuss patients’ financial responsibilities, collect deposits from self-pay patients and required insurance copayments, explain hospital requirements, arrange payment when needed, and complete promissory notes when necessary.
  • Collect and verify information for complete, accurate patient admission records, including medical record numbers, current patient data, copies of insurance and identification cards, authorizations, signatures, insurance information, and demographic information.
  • Participate in the organization-wide Performance Improvement Program through orientation, education, quality control, and quality planning activities.
  • Understand consent, Advance Directive, and other required forms and explain their purpose clearly before obtaining patient signatures.
  • 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 shift logs in the Emergency Department.
  • Complete designated courses and demonstrate required competencies within 90 days of hire for new employees; current employees must pass competency tests every two years from the original completion date.
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