Patient Access Representative, Variable Shift, 10 HR

Job Requirements:

Job Summary

• Exempt: No
• Performs a variety of specialized clerical duties relating to the pre-admission and admission of patients. Compiles necessary demographic and financial data for various hospital departments and functions. This position is represented by RCHEA.

Standards of Behavior

Line of Responsibility and Authority

• -Clinic Manager

Licenses and Certifications

Professionalism and Self-Development

Education and Qualifications

• EDUCATION AND EXPERIENCE: Experience as a registration clerk or related position preferred
• EDUCATION AND EXPERIENCE: High school diploma or GED
• QUALIFICATIONS: Able to file alphabetically
• QUALIFICATIONS: Able to organize and maintain good follow-up
• QUALIFICATIONS: Able to reach decisions, take appropriate action and follow through within scope of responsibility
• QUALIFICATIONS: Able to work independently with minimal supervision
• QUALIFICATIONS: Average computer skills
• QUALIFICATIONS: Average written and verbal communication skills
• QUALIFICATIONS: Knowledge of insurance and billing procedures preferred
• QUALIFICATIONS: Knowledge of medical terminology desired
• QUALIFICATIONS: Working knowledge of basic office and clerical skills

Physical Requirements/Work Environment/Use of Senses and Communications Skills

• ACCOMMODATIONS: The physical demands and work environment characteristics described here are representative of those an employee typically encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the key responsibilities and essential functions
• CONFIDENTIALITY: Employee must conform with all HIPAA and other confidentiality regulations as required by the job, department, or hospital
• EQUIPMENT USED: General office equipment, including computer, printer, calculator, copy machine and other office equipment
• PHYSICAL REQUIREMENTS (a): This job requires frequent bending, squatting, kneeling, climbing, reaching above shoulders, sitting, walking inclines and declines, standing, talking, hearing, and performing repetitive hand motions. Vision requirements include close vision and the ability to adjust focus. The employee will occasionally lift boxes and/or supplies weighing up to 25 pounds. The employee must demonstrate lifting a 25-pound box from the floor.
• POTENTIAL EXPOSURE TO BLOOD & BODY FLUIDS: Category 3 for potential exposure to blood/body fluids. (Does not require the performance of procedures or other tasks in the work routine that involve exposure to blood, body fluids or tissues, and the assisting in cases of emergency medical care or first aid is not a requirement of employment. Tasks that involve handling of implements or utensils, use of the public or shared bathroom facilities, telephones, and personal contacts such as handshaking, are all considered Category 3 tasks.)

Job Roles

Patient Access Representative (AHCL)

• Adheres to department policies, procedures, objectives, quality assurance, safety, environmental and infection control standards.
• Always include copies of insurance cards, appropriate funds and runsposts HDX. Answers all telephone inquiries in a timely, courteous and professional manner. Collects deposits andor co-pay from patient at time of service.
• Compiles and analyzes pre-admission data.
• Confirms insurance on all Workers Compensation claims.
• Consistently performs special projectsassignments in a careful and thorough manner and in accordance with identified goals and instructions from the department supervisor or department director.
• Documents in patients notes any financial information needed by the Patient Accounting Office.
• Greets patients in appropriate manner and requests them to sign in.
• Interprets and verifies insurance coverage to include Medicare, Medi-Cal, CMSP and commercial insurance programs.
• Interviews patient or hisher representative and obtains complete and accurate personal, demographic and financial information necessary for hospital admission and registration.
• Maintains and meets expectations on time for all competencies, license, certifications and education requirements as outlined by local administration, Adventist Health (AH), The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and all other regulatory agencies.
• Obtains proper signatures on Conditions of Admission, Patient Rights Acknowledgment, Medicare Screening Form, etc., as appropriate.
• Obtains signature of patients or responsible party on required forms.
• Obtains verbal permission when necessary and notes on forms with two witnesses. Secures appropriate documentation.
• Verifies completed registrations through AETS program.
• Willingly performs other duties and innovations as assigned.