Patient Access Representative II

3 days ago


Burlingame, California, United States Sutter Health Full time
Job Summary

We are seeking a highly skilled Patient Access Representative II to join our team at Sutter Health. As a key member of our healthcare team, you will be responsible for providing exceptional patient service and ensuring seamless registration and financial clearance processes.

Key Responsibilities
  • Greets patients and family members, obtains and verifies demographic, clinical, financial, and insurance information, and enters patient/guarantor information into patient registration/accounting systems.
  • Utilizes inputs to authenticate and register patients for service delivery, including those who have registered through the Patient Access Center.
  • Obtains and processes signed physician orders, maintains assigned work queues, and conducts insurance eligibility/benefit verification, referral/authorization, and financial education on designated accounts.
  • Calculates estimated patient liability, informs patients/guarantors, and actively collects appropriate patient liabilities, including co-payments, deductibles, and deposits at time of service.
  • Refers cases to financial counseling for follow-up and consultation, executes other duties as assigned, such as cashiering, bed management, and communications operator.
Requirements
  • Equivalent experience will be accepted in lieu of the required degree or diploma.
  • HS Diploma or equivalent education/experience.
  • Preferred experience in a hospital or clinic environment, an insurance company, managed care organization, or other financial service setting, performing financial counseling, financial clearance, and/or customer service activities.
Skills and Knowledge
  • General knowledge of patient access, financial counseling, functions in acute, and non-acute settings.
  • Working knowledge and understanding of insurance and medical terminology.
  • Emergency Medical Treatment and Active Labor Act (EMTALA) and Consent Laws knowledge.
  • Time management skills and the ability to manage frequent in-person patient contacts while maintaining and documenting data in patient registration systems.
  • Computer proficiency skills and the ability to work with and maintain confidential information.
Working Conditions

This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous, by the National Institute for Occupational Safety and Health (NIOSH) for purposes of USP 800.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.



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