Patient Access Rep I- Centralized Scheduling

Torrance Memorial; Torrance (CA); On-site; USD 34,000 - 43,000; Full time

Job summary

Torrance Memorial seeks a Patient Access specialist to support the hospital revenue cycle by accurately entering patient data, verifying insurance, and guiding patients through the intake process. The role emphasizes timely, courteous service in a fast-paced healthcare setting.

The position requires familiarity with payer policies and hospital registration applications, with daily responsibilities including data entry, patient greeting, and assisting with financial counseling as needed.

Qualifications

• Collects required data elements to complete the intake process within the hospital revenue cycle system.
• Validates patient eligibility and benefits with payer verification as needed using payer websites or hospital systems.
• Demonstrates basic working knowledge of department policies and explains them to patients and families.

Responsibilities

• Greet customers promptly and ensure they are taken care of in a timely and professional manner.
• Enters data related to patient intake in the hospital revenue cycle system to create claims for services.
• Creates estimates and collects patient financial responsibility payments for hospital services.
• Enters data via Reddi-Net for bed polls and notifies supervisors of alerts as needed.
• Completes the Midnight Census and updates applicable systems nightly.

Skills

Data entry

Insurance verification

Customer service

Telephone etiquette

Payer knowledge

Tools

Reddi-Net

Registration system

Job description

Description

Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided.

Description

Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided.

Core Competencies

• Collects all required data elements to complete the intake process within the hospital revenue cycle system.
• Utilizes hospital bed board/patient tracking system to track and arrange proper placement of patient on nursing units.
• Maintains basic working knowledge of all sponsored programs such as Medicare, Medi-Cal, Tricare and all other payers; as well as contracted insurance payers and authorization requirements.
• Maintains proficient working knowledge of Medicare Secondary Payor Questionnaire policy and procedures.
• Validates patient eligibility, benefits, and medical group affiliation as well as obtaining insurance verification and notification as needed. Validation may be performed via the telephone, payer website, or hospital registration application.
• Demonstrates basic working knowledge of all department/regulatory generated documents and is able to explain their meaning to patients and obtains appropriate initials/signatures.
• Bands patients appropriately and distributes labels/face sheets as necessary during the registration process.
• Collects and returns patient valuables in accordance with department procedure in designated areas.
• Creates estimates, requests, and collects patient financial responsibility payments for hospital services.
• Greets customers promptly ensuring they are taken care of in a timely and professional manner.
• Answers the telephone courteously within three rings, identifying self and department, routes calls, ascertains needs and takes accurate messages as appropriate.
• Complies with departmental policies and procedures, demonstrates basic working knowledge of policies and procedures. References policies and procedures to explain to patient's, families, and physicians and other hospital staff.
• Enters data related to HAV bed polls and notification to the administrative house supervisors/ or designee of any alerts via Reddi-Net when necessary.
• Participates in interdepartmental committees and taskforce representing the Patient Access department.
• Completes the Midnight Census compare and accurately makes all necessary changes in all applicable systems nightly as needed.
• Participates in daily performance improvement huddles and hospital performance improvement activities using lean tools and techniques.
• Reviews physician order for completeness to ensure compliance during intake process.

Experience

Number of Years Experience

Type of Experience

1healthcare revenue cycle, medical industry or customer service experience.

Compensation Range

$25.00 - $31.51 / Hour