Patient Access Representative II

4 weeks ago


Los Angeles, United States Prospect Medical Holdings Full time
Job Description

The Patient Access Rep I arranges for the efficient and orderly admission of all inpatients and outpatients. Ensures that accurate patient information is collected and that patients are aware of hospital policy and procedures.

Responsibilities

  • Registers all patients according to department procedures. Completes all necessary admission (including consent) forms accurately and thoroughly. Prior to entering patient information into Optimum verifies the medical record status using Master Patient Index function. Ensures that the patient's name, chief complaint and other information are entered accurately. Prepares the patients financial folder and distributes copies to appropriate departments.
  • Ensures that each account is billable, and if necessary, pre-certification requirements are met. Contacts physician's offices to obtain required pre-admission information as needed. Ensures that patients have required authorization for scheduled procedures. Explains hospital polices regarding payment of service, collects payments and issues receipts. Requests identification cards, and insurance cards during the admission process, obtains copies of all cards (front and back). Verifies insurance coverage and eligibility. Ensures that each patient receives an identification bracelet upon admission.
  • Operates PBX and answers all incoming calls and transfers to the appropriate department or patient room in a professional. Performs paging via overhead and other hospital systems when required, including announcing and reporting hospital emergency codes.
  • Ensures physicians are authorized to admit patients. Appropriately refers all physicians on delinquency list to hospital administrator or designee.
  • Provides a safe environment for patients, visitors and others. Maintains confidentiality of patients, families, employees, and visitors.


Qualifications

Minimum Education: High School Diploma or GED required.

Minimum Experience: One (1) year of previous experience in a customer service role required. Basic understanding of Medical Terminology. Excellent written and verbal communication skills in English. Strong time management skills. Ability to multitask and maintain a work pace appropriate to workload. Excellent customer service skills. Computer literacy and proficiency. Must demonstrate customer service skills appropriate to the job. Previous Healthcare Experience preferred. One (1) year of admitting office and/or PBX operator experience preferred. Bilingual skills to communicate effectively with patients and families preferred.

Req. Certification/Licensure: Hospital Fire and Life Safety Card within 30 days of hire date (Hollywood and Van Nuys only required).

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