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 admission information and produce complete and accurate admission records, including medical record, demographic, and financial information. The role answers admission-related inquiries, collects deposits or payments, interacts with nursing units and ancillary departments, and directs patients and guests to areas within the hospital. The representative supports patient-centered service and registration across inpatient, outpatient, bed board, and emergency department areas. Responsibilities include completing electronic medical records and required paperwork, obtaining accurate patient and insurance information, explaining consent and advance directive forms, collecting patient financial responsibility, and making arrangements when patients cannot pay at the time of service. The role also requires compliance with applicable laws and regulations, confidentiality, safety awareness, and participation in quality improvement activities.

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 renewed 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.
  • Must be willing to work overtime, holidays, and shift changes as needed.
  • Must complete designated courses and demonstrate required abilities within 90 days of hire for new employees.

Responsibilities

  • Interview incoming inpatient, outpatient, and emergency department patients to obtain information for admission and create complete, accurate admission records.
  • Collect patient medical record, demographic, insurance, and financial information; photocopy identification and insurance cards; obtain authorizations and required signatures.
  • Complete the patient’s electronic medical record and send all appropriate paperwork to the correct destination promptly.
  • Obtain and accurately enter Advance Directive information for inpatient, emergency, outpatient surgery, and bed patients.
  • Explain consent forms, Advance Directives, and other required paperwork so patients understand the purpose of each paragraph before signing.
  • Discuss patients’ financial responsibility, collect deposits from self-pay patients and copayments when required, and make financial arrangements when payment cannot be made at the time of service.
  • Document financial arrangements in patient account notes and notify the Admitting Manager or Business Office Manager about problem accounts requiring special attention.
  • Answer inquiries related to admissions, interact with nursing units and ancillary departments, and direct patients and guests to appropriate hospital destinations.
  • Provide prompt, cordial, complete assistance and prioritize patient needs while maintaining professional, tactful, and discreet working relationships.
  • Be cross-trained and work in inpatient, outpatient, bed board, and emergency room areas.
  • Assist with training new employees and promote teamwork among coworkers and other departments.
  • Monitor patient valuables according to hospital policy and procedure.
  • Maintain awareness of safety issues and report unsafe conditions appropriately; summon medical assistance when needed.
  • Protect confidential information at work and away from the facility, and remain informed and compliant with HIPAA, EMTALA, applicable collection laws, Medicare Secondary Payer requirements, and other governing regulations.
  • Remain informed about PPO, HMO, Medicare, Medi-Cal, and indigent service program requirements for timely claim processing.
  • Meet department productivity and quality standards, including registering at least 20 patients per shift, completing registrations within 20 minutes, and maintaining 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.
  • Meet department staffing needs, including overtime, holidays, and shift changes.
  • Perform other duties as assigned.
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