Patient Access Representative (Healthcare)

Job Summary:

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.

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

Licensure/ 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

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.

 Salary Range:$23.00 to $26.57 per hour