Patient Access Rep I - Emergency Dept Full Time Evening

Torrance-Memorial-Medical-Center; Torrance (CA); On-site; USD 34,000 - 45,000; Full time

Job summary

Torrance Memorial Medical Center in Torrance, CA is seeking a patient access specialist under direct supervision to enter patient data accurately and timely to create claims for medical services.

The role emphasizes verifying eligibility, benefits, and payer requirements, using the hospital revenue cycle system and Reddi-Net, and maintaining courteous patient interactions. This position supports hospital operations with a patient-first approach.

Qualifications

• Experience in healthcare revenue cycle or customer service.
• Knowledge of payer policies and eligibility verification.
• Ability to explain department documents to patients and obtain initials/signatures.

Responsibilities

• Enter patient data to create claims for medical services.
• Track patient placement using bed board/patient tracking system.
• Verify eligibility, benefits, and payer requirements; obtain insurance verification.
• Distribute labels/face sheets during registration.
• Answer phones and route calls with professional courtesy.
• Contribute to performance improvement activities using lean tools.

Skills

Data entry accuracy

Customer service

Phone etiquette

Attention to detail

Lean tools

Tools

Reddi-Net

Hospital registration system

Job 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

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

License / Certification Requirements

Compensation Range:

$25.00 - 33.44 / Hour