Patient Access Representative I - OC

City of Hope; Irvine (CA); On-site; USD 43,000 - 56,000; Full time

Benefits offered by this job

Comprehensive Benefits

Job summary

City of Hope is seeking a Patient Access Representative I to check-in/out patients and coordinate appointments across departments. The role requires independent judgment to manage scheduling, verify insurance, collect co-pays, and ensure a positive patient experience.

This position emphasizes effective communication and data entry across systems. Ideal candidates have at least one year in a high-volume customer service setting and strong interpersonal skills to support patients and staff in a

Qualifications

• High School or equivalent.
• One year in a high-volume Customer Service related field with direct interaction with customers.

Responsibilities

• Register, pre-register, consent and schedule all patient appointment types across clinics.
• Verify insurance eligibility and obtain authorization prior to service.
• Collect co-pays and explain financial responsibilities to patients.
• Create pre-registration records and link to scheduled appointments.
• Serve as a liaison between patients and staff to ensure a positive patient experience.

Skills

High-volume customer service

Communication skills

multitasking

Healthcare/medical office experience

Education

High School diploma or equivalent

Job description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

As a successful candidate, you will:

The Patient Access Representative I is responsible for the check-in and check-out of patients on behalf of medical group physicians and other licensed providers. This role requires independent judgement in order to successfully coordinate the scheduling of patient appointments across multiple hospital departments. This individual is expected to utilize telecommunications and computer information systems to create accounts, verify information and insurance, collect co-pays, schedule and re-schedule complex appointments. The Patient Access Representative I is best defined as an independent and flexible resource that focuses on system-specific service lines that are in alignment with the patient experience initiative. Furthermore, this role must multi-task between different patient care areas to ensure an extraordinary patient experience and that quality standards are met. Additional duties include, but are not limited to: physician to patient communication and serving as an information resource.

Registration and Scheduling:

• Demonstrates an understanding of the flow of the patient registration and scheduling process within the paper and electronic environments. Registers, pre-registers, consents and schedule all patient appointment types, across the clinics, ancillary areas and hospital. Create pre-registration record and links pre-registration record to scheduled appointments. Proactively coordinates appointments with other functional areas. Maintains department productivity, accuracy, and quality assurance standards while performing these duties. Ensure data is entered accurately for all patient demographic and insurance information. Completes all required legal documents and obtains and scans all other related documents. Performs cash collection functions, patient pricing estimates, ETC admission.
• Ensures that financial protocols and requirements are met while providing access to service at COH facilities by reviewing account documentation. Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management. Provides patients with itineraries, advance beneficiary notice and written instructions for tests and procedures as applicable. Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues and ensuring financial clearance of accounts. Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process. Provides Financial Assistance applications to all uninsured patients. Screens ordered tests and communicate to physician and/or ABN Specialist those tests and/or diagnoses that do not meet criteria to be covered by Medicare
• Assures that the correct pre-registration visit encounter type is linked to the scheduled appointment. Creates a request for authorization of service if applicable. Send orders for diagnostic tests to appropriate department. Assures that documentation indicating the date of service and the visit number accompanies the orders for diagnostic testing.
• Customer Service:
• Ensure a high level of customer service by greeting, being a resource to patients and visitors. Serve as a liaison between patients and support staff. Develop effective relationships with colleague, physicians, providers, leaders and other employees across the organization. Demonstrates genuine interest in helping our patients, providers and other employees by using excellent communication skills, being polite, friendly, patient and calm under pressure.
• Managing multiple, changing priorities in an effective and organized manger, under stressful demand while maintaining exceptional service. Maintain composure when dealing with difficult situations and responding professionally. Independently recognize a high priority situation, taking appropriate and immediate action. Effectively communicates with service delivery and other departments to resolve issues that impact patient care and escalating issues that cannot be resolved in accordance with departmental guidelines.
• Quality Assurance
• Maintains appropriate level of productivity and accuracy for work performed based on department standards. Maintains thorough knowledge of policies, procedures, and standard work within the department in order to successfully performance duties on a day-to-day basis.
• Miscellaneous Duties:
• Performs other departmental duties as assigned, such as answering and making phone calls, managing incoming/outgoing faxes, organizing and filing departmental documents, inventorying supplies, data entry, etc.
• Performs other related duties as assigned or requested.

Your qualifications should include:

• High School or equivalent
• One year in a high-volume Customer Service related field with direct interaction with customers.

City of Hope employees pay is based on the following criteria:

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.

Please note

• Apply only through our official website or trusted partner platforms.
• City of Hope will never request payment or fees at any stage of the hiring process.
• We will not request sensitive personal or financial information prior to the acceptance of a formal offer.
• All communications will come from official @coh.org email addresses.
• Interviews are conducted only through approved, professional channels.
• Be cautious of unsolicited communications, urgent requests or opportunities that seem inconsistent with standard hiring practices.
• If you receive any suspicious communication, please report it to [e-mail].