Job Description

POSITION SUMMARY

Under the direction of the Admitting Manager, the Patient Access Representative is responsible for interviewing incoming patients (inpatient, outpatient, and emergency department) to obtain all pertinent data for admission and produce a complete and accurate admission record. This includes medical record information, as well as demographic and financial related information. Is responsible for answering all inquiries related to admissions, collects deposits or payments, interacts with the nursing units and ancillary departments and provides directions to various areas within the hospital.

ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES

• Acknowledging patients or guests and their requests
• Appearing professional in dress, grooming and hygiene.
• Assists in the training of new employees.
• Demonstrates awareness and sensitivity to the rights of patients and significant others, as identified within the situation.
• Document any financial arrangements made in the patient’s account notes. Notifies the Admitting Manager or Business Office Manager of all problem accounts that require special attention.
• Exhibiting concern, tact and discretion in all working relationships
• Functions with an awareness of safety issues and reports unsafe issues appropriately, as identified within the institution.
• It is the responsibility of the Patient Access Representative to uphold the highest service standards regarding patient care.
• Making patients’ needs the first priority.
• Must be able to work and be cross trained in all areas of which includes, Inpatient, Outpatient, Bed Board, and Emergency Room
• Must be familiar with the Hospital layout in order to direct patients or guests to the proper destination.
• Must be physically able to push a wheelchair.
• Must be willing to meet staffing needs of the department and be available to work overtime, holidays, and shift changes.
• Must remain informed and compliant with HIPAA, EMTALA, the Fair Debt and Collection Practices Act, Medicare Secondary Payer, and other laws and regulations that govern Patient Financial Services.
• Must remain informed regarding all PPO, HMO, and Medicare, Medi-Cal and indigent service programs and requirements for timely processing of claims.
• Offering assistance promptly, cordially, and completely
• Patient care is of the utmost priority in all aspects of registration. Must be comfortable with sick patients and able to summon medical assistance when needed. Must be BLS certified each year.
• Patient valuables are to be closely monitored by all Patient Access Representatives in accordance with Hospital policy and procedure.
• Performs various other duties, as assigned.
• Promoting unity and teamwork among co-workers and other departments
• Responsible for appropriately handling all confidential information while at work, as well as when away from the facility.
• Responsible for completing the patient’s electronic medical record and ensuring that all appropriate paperwork is sent to the proper destination in a timely fashion.
• Responsible for obtaining the Advance Directive information from inpatient, ER, OPS, and bed patients. Accurate data is entered in the computer and on the Conditions of Admission
• Responsible for speaking with the patient in regard to their financial responsibility for the bill. Collects deposits on all self-paying patients and co-payments from patients whose insurance requires one. If the patient is unable to meet their financial obligation at the time of service, Patient Access
• Representative is responsible to speak to them regarding the Hospital’s requirements and make financial arrangements. Complete promissory note, when necessary.
• Responsible for the collection of all patients related information to produce a complete and accurate patient admission record. This includes, but is not limited to, choosing the correct medical record numbers, gathering current patient data, photocopying insurance cards, identification cards, and other pertinent information, obtaining authorization, obtaining signatures on all appropriate forms, and obtaining accurate insurance and demographic information in order to create an accurate patient account record. Responsible for understanding and participating in the organization-wide Performance Improvement Program through orientation, education, departmental, and inter-departmental quality control, and quality planning activities.
• Responsible for understanding the Consent form, Advance Directive, and any other forms the patient is required to sign in order to accurately and clearly state the intention of each paragraph. Patients are to be well informed before a signature can be obtained.
• Responsible for meeting the department productivity goal of registering a minimum of 20 patients per shift. Also responsible to perform registrations timely, within the department standard of 20 minutes. Also responsible to maintain an account accuracy rate of no less than 80%.
• Shift logs are to be completed and printed in the Emergency Department.
• Responsible to perform, understand and demonstrate ability of all courses designated, within 90 days of hire for new employees, and within 1 year of 02/12/2018 for current employees.  Current employees must successfully pass a competency test every two years from that original date completed.

JOB REQUIREMENTS Education Minimum (Required) High School diploma or equivalent Preferred (Not required) Work Experience Minimum (Required) 2 years minimum of customer service skills required.

Job Tags

Holiday work, Work experience placement, Shift work,

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