Patient Access Representative - Pre-Op

Job type: Full Time

Shift: Days

Hours:

The Patient Service Representative greets patients and visitors in person or on the telephone; obtains demographic, financial and medical information for registration and identification, coordinates and assists in the completion of all activities relating to patients' finances, to facilitate the collection and distribution of information and to expedite a smooth and timely billing and collection process while adhering to department policies and procedures. Access to demographic information and limited patient health information related to job function.

The Patient Service Representative obtains monitors and expedites the necessary authorizations and approvals for hospital outpatient services or elective surgeries per the designated insurance carriers.

All patient charts are complete with a minimum accuracy rate of 95% on all registrations.

Needs no assistance from co-workers.

Accurately enters demographic & insurance information on a timely basis.

Obtains all necessary copies of insurance cards and related documents.

Obtains all appropriate and necessary signatures to meet regulatory requirements.

Accurately and timely scans all necessary/required documents into VI Web.

Maintains current knowledge of financial resources in order to identify appropriate financial status for private pay
emergency room patients (self-pay , MIA, Medi-cal, Medicare only, VOC, etc.).

Insures Trauma and Ambulance logs are maintained current to ensure proper identification of emergency room patients.

Consistently process cashier receipts with a 100% accuracy rate when accepting cash payments according to established policies and procedures.

Maintains current knowledge of Cerner system to ensure proper “computer down-time” registration of emergency room
Patients.

Consistently answers phones timely while maintaining positive working relationships with patients, co-workers, physicians
and nursing staff.

Consistently meets monthly cash collection goals as outlined by Tenet Corporate Patient Financial Services/Patient Access Departments.

Maintains current knowledge of Compact for Uninsured Policy & Procedure and complies with appropriate guidelines.

Collect s 50% of “potential” monies due (co-pays, deductibles, and deposits).

Supports and facilitates open communication with patients and families.

Supports and facilitates open communication with physicians and other department staff.

Maintains confidentiality of patient information per HIPAA regulatory guidelines.

Continually strives to meet patient needs and expectations.

Receives positive comments from patients and families regarding job performance.

Receives positive comments and feedback from coworkers and other department staff.

Required:

• High School Diploma or GED
• One to three years recent experience in acute care hospital registration and/or business office
environment.
• Knowledge in Medicare, Medi-Cal and third party billing and collection procedures.
• Experience or knowledge in admissions, registrations and insurance verification.
• Ability to type a minimum of 35 WPM.

Preferred:

• Ability to speak Spanish or other additional languages.