Patient Access Specialist — Hospital Admissions & Insurance

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

Benefits offered by this job

Medical Insurance

401(k) Plan

Paid Holidays

Job summary

Guidehouse is seeking an Admitting Representative to obtain demographic and financial information, verify insurance eligibility, and assign correct medical records. The role requires data entry, patient communication, and adherence to Medicare compliance.

Several shifts are available with weekend and holiday rotation, in a fast-paced hospital setting. Responsibilities include coordinating with physicians and departments, handling pre-certifications and deposits, and maintaining accurate records

Qualifications

• High School Diploma or equivalent required.
• 0-1 year experience in a medical setting or heavy customer service environment using data entry and insurance-related systems.
• Current BLS certification from American Heart Association or ability to obtain within 90 days.
• Ability to obtain AVADE training offered by MLK Community Hospital within 30 days from start date.

Responsibilities

• Obtain complete and accurate demographic and financial information from patients and sources.
• Obtain signatures on legal consents and insurance forms.
• Enter data into computer systems and document admissions/registrations.
• Notify patients and staff of insurance coverage issues and co-pays or deposits needed.
• Review Physician orders for completeness and ensure required information is listed.
• Complete Medicare Compliance and obtain ABN if necessary.
• Maintain multiple computer systems and ensure accuracy.
• Provide excellent customer service and escalate unresolved issues.
• Answer calls using pre-established scripts and assist callers.

Skills

Data entry

Customer service

Attention to detail

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Guidehouse is seeking an Admitting Representative to obtain demographic and financial information, verify insurance eligibility, and assign correct medical records. The role requires data entry, patient communication, and adherence to Medicare compliance.

Several shifts are available with weekend and holiday rotation, in a fast-paced hospital setting. Responsibilities include coordinating with physicians and departments, handling pre-certifications and deposits, and maintaining accurate records