About The Position

Kern Medical, LLC is hiring a Patient Access Services Representative I/II for its Cardiology/Neurology/Physiatry specialty clinics. Under supervision, the representative performs patient access, registration/admitting, and financial counseling activities. Assignments may include patient pre-registration and registration, admitting, financial counseling, researching insurance funding issues, and screening patients for alternative government funding. Level I is the first level of the classification series. Representatives are expected to develop specific knowledge of patient and insurance demographic information and payment options. Assignments may be in registration/admitting, financial counseling, or related patient access areas. Level II performs more responsible and complex assignments; promotion to Level II is based on department-head recommendation and approval by the Director of Personnel. The position is full-time. Bilingual ability is preferred. Compensation is estimated at $21.42–$28.79 per hour for Level I and $22.19–$29.82 per hour for Level II. Additional compensation may be available through differentials, incentives, and bonuses. The position may also be eligible for participation in and company contributions to a 401(k).

Requirements

  • Level I: High school diploma or GED and six months of patient access experience, or an equivalent combination of education, training, or experience sufficient to perform the essential duties.
  • Level II: High school diploma or GED and one year of patient access experience, or an equivalent combination of education, training, or experience sufficient to perform the essential duties.
  • Maintain all health requirements designated by Kern Medical, LLC.
  • Knowledge of state and federal funding programs, including Medicare, Medi-Cal, CCS, TRICARE/CHAMPUS, and Workers’ Compensation; commercial insurance payers; payer billing and reimbursement guidelines and methodologies; medical and insurance terminology; and HIPAA privacy and compliance practices.
  • Communicate effectively orally and in writing; read, understand, and apply policies and guidelines; obtain information from patients, families, and other sources; use computers and software; and maintain effective working relationships with internal and external customers.
  • Use tact and empathy with patients and families in stressful situations; work effectively with frequent interruptions and multiple tasks in a fast-paced environment.
  • Ability to lift, carry, push, or pull files; sit at a workstation for prolonged periods; and report to various hospital departments.
  • If driving a personal vehicle is required, possess a current valid California driver’s license and comply with the applicable vehicle-use and driving policy.
  • If driving a vehicle owned, leased, or rented by Kern Medical is required, possess a current valid California driver’s license, sign an authorization for release of driver record information, and comply with the applicable vehicle-use and driving policy.

Nice To Haves

  • Bilingual ability is preferred.

Responsibilities

  • Greet patients, explain the process, and schedule examination or follow-up appointments.
  • Assemble the data and documents required for patient registration, including pre-admission, admission, pre-registration, and registration; complete insurance verifications and authorizations.
  • Enter patient demographic information into the hospital’s electronic health record and use other department applications for eligibility and authorization.
  • Assess patients’ financial responsibility and collect applicable co-pays, co-insurance, out-of-pocket amounts, share of cost, and deductibles at admission.
  • Screen admissions and inform referring physician offices, patients, and families about hospital payment policies and procedures.
  • Interview patients at workstations or bedside to assess possible eligibility for state-funded programs.
  • Obtain and document patient funding information, explain available funding resources, and obtain funding at assigned stages of the patient access process.
  • Use payer resources and websites to assess eligibility; initiate referrals for Medi-Cal, CMS, CCS, and KMCHP; and apply the KMC Financial Assistance Policy and Procedures to determine eligibility for discounted prices or charity care.
  • Collaborate with revenue-cycle areas to identify and resolve issues or barriers.
  • Enter fiscally related information into databases and maintain fiscal records and files.
  • Respond to information requests and inquiries about patient access processes and policies; research and resolve customer problems.
  • Perform other related duties as assigned.

Benefits

  • May be eligible to participate in a 401(k) with company contributions.
  • Additional compensation may be available through differentials, incentives, and bonuses.
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