Job Details

Patient Access Representative
About Valley Presbyterian Hospital
Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Patient Access Representative
to join our dedicated team.
Position: Patient Access Representative
What You'll Do: As a Patient Access Representative, you will be responsible for registering patients in a professional and courteous manner. This role includes conducting patient/guarantor interviews, explaining hospital policies, and verifying financial and demographic information for accurate documentation. You will work directly with patients, ensuring that all necessary authorizations and pre-certifications are obtained to meet individual payor requirements. Your role is vital in providing a smooth and welcoming experience for patients.
Responsibilities
* Interview and register patients in compliance with hospital policies.
* Ensure adherence to EMTALA rules and regulations during emergency department registration.
* Accurately input demographic and financial data into the system to ensure proper revenue routing.
* Validate and update patient information as needed, maintaining a 97% accuracy level.
* Scan all necessary documents, including insurance cards, personal identification, and driver's licenses.
* Obtain insurance information and verify patient coverage, ensuring accounts reflect correct details.
* Secure pre-certifications/authorizations in accordance with payor protocols.
* Collect deposits, copays, deductibles, and payments for non-covered services.
* Utilize tools to ensure compliance with payor payment authorization protocols.
* Assist patients with completing financial packets and establishing financial arrangements according to hospital policies.
* Complete the Advanced Beneficiary Notification for Medicare patients as required.
* Record and maintain comments in the system to ensure accurate follow-up.
* Assist the admitting supervisor and director with patient-related duties as needed.
* Manage patient room assignments in collaboration with nursing staff and ensure proper placement.
* Provide professional and courteous service to patients, families, visitors, and hospital staff.
What We're Looking For:
Experience:
* Minimum two (2) years of experience in healthcare, insurance, or a related field.
* Experience in an inpatient or outpatient admissions setting or a physician's office is preferred.
* Knowledge of patient accounting, insurance payor systems, and medical terminology.
* Strong communication skills, both written and verbal, to interact with patients, payers, and hospital staff.
* Ability to work both independently and as part of a team.
* Computer literacy required.
* Bilingual (Spanish) preferred.
Education:
* High School diploma or equivalent required
* Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred
Licensures/Certification:
* Must successfully complete and maintain LA City Fire Card certification within the first 30 days of employment
* Must successfully complete and maintain Managing Aggressive Behavior certification within 30 days of employment
Why You'll Love Working Here:
Supportive Environment:
* We prioritize teamwork, professional growth, and a positive work culture.
Impactful Work:
* Your role will directly contribute to the smooth operation of our organization.
Professional Development:
* We offer continuous learning and advancement opportunities to help you grow in your career.
General Responsibilities:
* Maintain a professional atmosphere in the hospital at all times.
* Adjust to changes in department schedules as required, filling in during emergencies when necessary.
* Respect patients' privacy in accordance with the Patient's Bill of Rights and HIPAA regulations.
* Attend and participate in departmental meetings, staying informed on all communicated updates.
* Ensure smooth teamwork and cooperation with other departments.
* Foster a positive public image by interacting professionally with patients and visitors.
Work Environment:
* Primarily an indoor building/office environment with good lighting and ventilation.
* Fast-paced work with variable workload and frequent interruptions.
* Frequent interaction with staff, patients, and the public under diverse circumstances.
* Occasionally exposed to emotional situations involving accidents, illness, or death.
* Potential exposure to hazards from chemicals, flammable materials, and equipment.
Physical Demands:
* Continuous (66-100%): Sitting and standing/walking with frequent position changes.
* Frequent (33-65%): Reaching, grasping, and using hands for fine motor tasks.
* Occasional (0-32%): Lifting and carrying objects up to 25 pounds.
* Continuous use of near vision, hearing, and verbal communication to interact with patients and staff.
Key Responsibilities:
* Patient Care Excellence: Champion a positive patient experience, ensuring high standards of care and safety.
* Team Leadership: Mentor and support staff, fostering a collaborative and efficient work environment.
* Operational Management: Oversee scheduling, resource availability, and staff assignments to ensure smooth operations.
* Communication & Collaboration: Facilitate clear communication between patients, families, staff, and physicians.
* Performance Improvement: Participate in quality initiatives and ensure compliance with regulatory requirements.
Ready to Elevate Your Career? Join us at Valley Presbyterian Hospital and be a part of a team dedicated to excellence in patient care. Apply today to lead, inspire, and make a difference!
$24.00 - $26.57 per hour