Patient Access Rep I - Emergency Department FT Eves

Torrance Memorial; Torrance (CA); Sur place; USD 34 000 - 43 000; Plein temps

Résumé du poste

Torrance Memorial is seeking an entry-level Patient Access support role to ensure accurate data entry and timely claim creation for hospital services.

Under supervision, you will verify patient eligibility, assist with intake processes, and coordinate with hospital departments to ensure smooth patient flow and accurate documentation.

Qualifications

• Data entry accuracy and speed
• Customer service and telephone etiquette
• Insurance verification and eligibility checks
• Familiarity with hospital revenue cycle concepts
• Ability to work with multiple systems and databases

Responsabilités

• Enter patient data to create and submit medical service claims promptly.
• Validate patient eligibility, benefits, and payer information.
• Utilize bed board/patient tracking and hospital systems for patient placement.
• Explain policies to patients and obtain initials/signatures as needed.
• Greet patients, answer calls, and route inquiries professionally.
• Collect and return patient valuables per procedure; maintain confidentiality.

Description du poste

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 ExperienceType of Experience1healthcare revenue cycle, medical industry or customer service experience.Compensation Range$25.00 - $31.51 / Hour