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Patient Access Representative

2 months ago


Lake Arrowhead, California, United States Mountains Community Hospital Full time
Job Summary

Mountains Community Hospital is seeking a highly skilled Patient Access Representative to join our team. As a Patient Access Representative, you will play a critical role in ensuring the smooth and efficient registration process for patients. This is an exciting opportunity to work in a fast-paced environment and make a real difference in the lives of our patients.

Key Responsibilities
  • Answer main telephone lines courteously and direct calls appropriately.
  • Obtain accurate demographic and insurance information prior to services, thus reducing financial risk of denials & delayed collections.
  • Ensure insurance coverage by telephone or website and resolve any issues with coverage.
  • Identify the need for authorization of services to be rendered & calculate the patient's financial responsibility.
  • Collect co-payments and payments on accounts.
  • Guide patients to understand their insurance benefits.
  • Interview patients, complete and distribute all paperwork, including medical records, necessary to ensure the admitting process is efficient.
  • Assist in clinical clerical functions, including coordination of patient movement, i.e. transfers, discharges, etc.
  • Confirm chief complaint of patient presenting to Emergency Department and immediately notify Emergency Department nurse/physician.
  • Initiate and coordinate lab and imaging orders and results.
Requirements
  • High school diploma or general education degree (GED); or one to three years related experience and/or training; or equivalent combination of education and experience.
  • Previous receptionist/customer service experience preferred.
  • Basic medical terminology experience preferred.
  • Medical billing experience preferred.
Preferred Qualifications
  • CPR certificate required within 6 weeks of start date.
  • Bilingual in Spanish preferred.