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Patient Access Representative III

2 months ago


Irvine, California, United States City of Hope Full time
Job Summary

City of Hope is seeking a highly skilled Patient Access Representative III to join our team. This role is responsible for coordinating the scheduling of patient appointments across multiple hospital departments, utilizing telecommunications and computer information systems to create accounts, verify information and insurance, collect co-pays, and schedule and re-schedule complex appointments.

Key Responsibilities
  • Registers, pre-registers, consents, and schedules all patient appointment types, across the clinics, ancillary areas, and hospital.
  • Creates pre-registration records and links pre-registration records to scheduled appointments.
  • Proactively coordinates appointments with other functional areas.
  • Maintains department productivity, accuracy, and quality assurance standards while performing these duties.
  • Ensures data is entered accurately for all patient demographic and insurance information.
  • Completes all required legal documents and obtains and scans all other related documents.
  • Performs cash collection functions, patient pricing estimates, ETC admission.
  • Ensures that financial protocols and requirements are met while providing access to service at COH facilities.
  • Reviews account documentation, maintains and applies current knowledge of insurance requirements, and confirms authorization is secured prior to forwarding patients to service delivery areas.
  • Provides patient with itineraries, advance beneficiary notice, and written instructions for tests and procedures as applicable.
  • Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues and ensuring financial clearance of account.
  • Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process.
  • Provides Financial Assistance applications to all uninsured patients.
  • Screens ordered tests and communicates to physician and/or ABN Specialist those tests and/or diagnoses that do not meet criteria to be covered by Medicare.
Requirements
  • High School or equivalent.
  • Two years related experience registering and scheduling complex patient appointments in a clinic or hospital setting.
  • Medical terminology experience required.
  • Preferably, two years front desk oncology practice experience. EPIC electronic medical record experience preferred.