Patient Access Representative - Orthopaedic Surgery Clinic - Full Time 8 Hour Days (Non-Exempt) (Union)

Keck Medicine of USC•Los Angeles, CA

10d•$22 - $37•Onsite

About The Position

The Patient Access Representative assists patients with the check-in/arrival process. They possess in-depth knowledge of all front desk and arrival processes. This role works with physicians to coordinate new patients for their schedules, assists new patients in collecting all medical records and history, and schedules new patients with physicians who specialize in their care type. The representative prepares new patient charts for physician review and is responsible for providing insurance information to the Financial Counselor Representative for verification.

Requirements

High school or equivalent Or equivalent evidence in file required.
Must have excellent communication skills, including the ability to speak, read and write English proficiently.
Demonstrate excellent customer service behavior.
Fire Life Safety Training (LA City) - If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Nice To Haves

1 year of ambulatory clinic experience or in a related field.
Must be comfortable with computers and medical terminology.
In depth knowledge of Cerner, most insurance types, and basic computer programs.

Responsibilities

Generate a patient MRN (Medical Record Number) and utilize the MRN checker.
Use patient identifier "Name and date of birth" to assure registration of the correct patient.
Maintain confidentiality of patient information.
Determine if the patient's insurance is contracted with USC.
Edit insurance information as appropriate.
Resolve all GE Centricity Alerts.
Obtain and ensure all required documents are signed and scanned or available in the EMR: Insurance Card, Identification Card, Condition of Service – hospital document, Financial Responsibility- Physician document, Notice of Privacy Practices.
Obtain patient demographics and confirm all are current and correct in both hospital and physician systems.
Utilize appropriate Financial Class, Plan Id’s, Service Code, and Patient type.
Verify and comprehend insurance benefits via contacting insurance companies directly, electronic verification system (Ecommerce or Passport or direct insurance websites), and ensure effective dates and co-pays are documented in registration systems.
Utilize appropriate FCS and Alternate Insurance in the Physician System.
Assure authorizations are in place as specified by the patient's carrier.
Provide excellent customer service, including phone etiquette, scripting as provided, escorting patients as needed, and professional conduct.
Request patient financial liabilities (Co-pay outstanding balances).
Follow and adhere to dress code and attendance policies.
Assist Supervisor as needed with special projects and other duties such as scheduling, break/lunch coverage, check out, and any other duties assigned by supervisor.
Balance cash drawer to Batch.
Close out batches.
Prepare bank deposit for Physician practice.
Perform other duties as assigned.