Patient Access & Admissions Specialist

Jobtome; Gardena (CA); On-site; USD 38,000 - 63,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

Paid Holidays

401(k) Plan

Tuition Reimbursement

Job summary

Guidehouse in Gardena, CA is seeking an Admitting Representative to collect demographics and insurance information, verify benefits, and assign medical records for accurate billing. The role supports pre-certification steps, patient communications, and coordination with physicians and departments.

Qualified candidates have 0–1 year in a medical setting or strong customer service, data-entry experience, and a High School diploma.

Qualifications

• Minimum 0-1 year experience in a medical setting or heavy customer service environment utilizing data entry skills, insurance or other online websites and various software applications, including volunteer work.
• Current BLS certification from American Heart Association OR ability to obtain 90 days post hire.
• Ability to obtain AVADE training offered by MLK Community Hospital within 30 days from start date.

Responsibilities

• Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews physician offices and in-house departments.
• Obtains required signatures on legal consents and insurance forms.
• Performs required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates patients file.
• Notifies patients, family members, physicians and/or supervisors of insurance coverage issues, notifies patients of co-payments, deductibles or deposits needed, documenting all information in computer system.
• Reviews Physician’s orders for completion and ensures all required information is listed.
• Completes Medicare Compliance and obtains ABN if necessary.
• Knowledge of all Federal, State and Local Laws pertaining to insurance rules and regulations.
• Maintains multiple computer systems.
• Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
• Answers telephone calls. Follows pre-established script and provide assistance to callers.
• Completes all shift duties in a timely and accurate manner.
• Complies with all safety regulations, policies and procedures as defined by Customer.

Skills

Data entry

Customer service

BLS certification

Education

High School Diploma or equivalent

Job description

Guidehouse in Gardena, CA is seeking an Admitting Representative to collect demographics and insurance information, verify benefits, and assign medical records for accurate billing. The role supports pre-certification steps, patient communications, and coordination with physicians and departments.

Qualified candidates have 0–1 year in a medical setting or strong customer service, data-entry experience, and a High School diploma.