Job Details

Job Summary:

As a Patient Access Representative II, you will be responsible for performing advanced patient access duties, including scheduling, pre-registration, registration, and financial clearance. This role ensures accurate data entry into Meditech, securing pre-certifications, and verifying insurance coverage while providing excellent customer service. The Patient Access Representative III plays a critical role in maintaining smooth patient access operations and assists the supervisor in overseeing staffing schedules and resolving complex patient inquiries.

Education:

• High School diploma or equivalent required
• Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred

Licenses and Certifications:

• Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment.
• Must successfully complete and maintain certification for Mgmt. of Assaultive Behavior (ex. CPI- Non-violent Crisis Intervention) within 30 days of employment.

Experience:

• Minimum of two (2) years of experience as a Patient Access Services Representative
• Strong computer literacy skills
• Excellent communication and public relations skills
• Knowledge of medical terminology
• Bilingual (Spanish) preferred
• Strong organizational and documentation skills.

Responsibilities:

• Accurately schedule and pre-register elective procedures and services.
• Pre-register and schedule patients using Meditech Community Wide Scheduling (CWS) module.
• Ensure proper physician orders and adherence to hospital regulations for scheduling.
• Obtain and verify financial and demographic data necessary for patient registration.
• Verify insurance benefits and eligibility for services and ensure pre-certifications/authorizations are obtained according to payor requirements.
• Obtain Letters of Agreement for patients capitated to other facilities and ensure financial clearance is in place before the patient's procedure.
• Calculate patient financial responsibilities and negotiate payments with private pay and underinsured patients.
• Assist in obtaining payments for co-pays, deductibles, and non-covered services.
• Assist patients with information about financial options, including cash, check, credit card, and bank financing.
• Maintain an accuracy level of 97% in data entry for patient demographics and financial information.
• Collaborate with the Supervisor or Director to resolve escalated issues or problem accounts.
• Ensure compliance with EMTALA regulations for Emergency Department registrations.
• Maintain patient privacy and adhere to HIPAA standards.
• Provide transportation escort and services for patients as needed.
• Perform additional duties as assigned, ensuring flexibility to work in all areas of Patient Access Services.

General Responsibilities:

• This position is designed for a detail-oriented individual with strong communication and organizational skills, committed to delivering high-quality patient access services.
• The Patient Access Representative III ensures the smooth functioning of patient scheduling, pre-registration, and registration processes, contributing to the overall efficiency of the hospital's operations.
• Comply with VPH policies, demonstrating professionalism and cultural sensitivity.
• Communicate accurately and supportively with team members, demonstrating effective business writing and oral communication skills.
• Actively participate in performance improvement activities and department-specific training.
• Demonstrate knowledge of safety practices, including infection control protocols.
• Contribute to the Patient Safety Program by reporting near misses and participating in education activities.

Salary Range: $24.00 to $26.57 per hour

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