Patient Access Services Representative II - ER Admitting - Per Diem - Shift

Kern Medical•Bakersfield, CA

4d•$22 - $27•Onsite

About The Position

Kern Medical is seeking a Per Diem Patient Access Services Representative II for their ER Admitting department. This role involves supplementing department staffing needs with no guarantee of minimum hours, but a minimum scheduling expectation of four (4) shifts per four-week schedule. The position requires knowledge of hospital/healthcare operations and specific understanding of patient and insurance demographic information, as well as payment options. Assignments can be in registration/admitting, financial counseling, or related patient access areas.

Requirements

High School diploma or GED and one (1) year of patient access experience OR an equivalent combination of education, training, or experience sufficient to successfully perform the essential duties of the job.
Knowledge of State and federal government funding programs such as Medicare, Medi-Cal, CCS, TRICARE/CHAMPUS, Workers’ Compensation; and commercial insurance payers.
Knowledge of billing and reimbursement guidelines and methodologies for state and federal government and non-government payers.
Knowledge of medical and insurance terminology.
Knowledge of HIPAA privacy and compliance practices.
Ability to communicate effectively both orally and in writing sufficient to perform the essential functions.
Ability to read, understand, and apply policies and guidelines.
Ability to obtain information from a variety of sources, including patients and families.
Ability to use computers and various software to accomplish work.
Ability to establish and maintain effective working relationships with patients, families, and other internal and external customers.
Ability to use tact and empathy in working with patients and families under stressful situations.
Ability to perform work effectively with frequent interruptions.
Ability to perform multiple tasks in a fast paced environment.
Ability to lift, carry, push or pull files.
Ability to sit at work station for prolonged periods of time.
Ability to report to various departments throughout the hospital.

Nice To Haves

Hospital/healthcare knowledge or experience.
Specific knowledge of the importance of patient and insurance demographic information and the availability of payment options.

Responsibilities

Greets patients, reviews process, and schedules appointments for exam or follow-up.
Assembles all data and documents required for complete patient registration, including pre-admission, admission, pre-registration, and registration functions; completes all insurance verifications and authorizations.
Enters all patient demographic information into STAR system; uses other department applications for eligibility and authorization.
Assesses patient financial responsibility and collects co-pay, co-insurance, out of pocket, share of costs, and/or deductibles at time of admission.
Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment source for services rendered.
Interviews patients at the workstation and/or at the bedside to determine possible eligibility for state-funded programs.
Obtains and documents funding information from patients and provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned.
Uses payer resources and websites to explore and assess eligibility; initiates referrals for Medi-Cal, CMS, CCS, and KMCHP; administers KMC Financial Assistance Policy and Procedures to determine patient eligibility for discounted prices or charity care.
Calculates various pay agreements.
Assists with training of staff members.
Works in collaboration with all areas of the revenue cycle to identify and resolve issues and/or barriers.
Enters a variety of fiscally related information into databases; maintains fiscal records and files.
Responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems.
Performs other related duties as assigned.