PATIENT ACCESS REPRESENTATIVE

3 weeks ago


Gardena CA USA, United States Pipeline Health System, LLC Full time
Patient Access Representative

Job Summary:

Reports to the Patient Access Supervisor, Manager and/or Director is responsible for registering patients, obtaining demographic data, and identifying payment source on patient registrations. Assist patient(S) in collecting payments for services rendered and ensuring that the patient is aware of their financial responsibility. Responsibility to include coverage as required in the PBX/Communications Department. To follow regulatory agency requirements-to include Title 22, EMTALA, and HIPAA guidelines.

Essential Job Duties:
  • Identify anyone presenting for care or services.
  • Collect and input accurate demographic data.
  • Complete understanding of how to Admit, Discharge, and Transfer patient through the ADT system.
  • Verify insurance and identify the proper insurance plan codes to ensure accurate and prompt payment.
  • Obtain any necessary authorizations for services provided.
  • Collect co-payments and deductibles from patient accounts.

Behavioral Standards:
  • Exhibits customer and service-oriented behaviors in everyday work interactions.
  • Demonstrates a courteous and respectful attitude to internal workforce and external customers.

Communication/Knowledge:
  • Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
  • Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
  • Able to use IT systems in an accurate and proficient manner.

Collaboration/Teamwork:
  • Contributes toward effective, positive working relationships with internal and external colleagues.
  • Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.

Education/Experience:
  • High school graduate or job-related work experience equivalent.
  • Two years hospital admitting experience preferred.

Licensure/Certifications:
  • BCLS Certification Required
  • AB508 Training Required when working in Emergency Department

ADA/Physical Demands:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.

Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell. The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.

Skills & Requirements Qualifications

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