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Patient Access Representative - ED Per diem

Patient Access Representative - ED Per diem

Valley Presbyterian HospitalVan Nuys, CA, US
30+ days ago
Job type
  • Full-time
Job description

Patient Access Representative

Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Patient Access Representative to join our dedicated team.

Position : Patient Access Representative

What You'll Do : As a Patient Access Representative, you will be responsible for registering patients in a professional and courteous manner. This role includes conducting patient / guarantor interviews, explaining hospital policies, and verifying financial and demographic information for accurate documentation. You will work directly with patients, ensuring that all necessary authorizations and pre-certifications are obtained to meet individual payor requirements. Your role is vital in providing a smooth and welcoming experience for patients.

Responsibilities

  • Interview and register patients in compliance with hospital policies.
  • Ensure adherence to EMTALA rules and regulations during emergency department registration.
  • Accurately input demographic and financial data into the system to ensure proper revenue routing.
  • Validate and update patient information as needed, maintaining a 97% accuracy level.
  • Scan all necessary documents, including insurance cards, personal identification, and driver's licenses.
  • Obtain insurance information and verify patient coverage, ensuring accounts reflect correct details.
  • Secure pre-certifications / authorizations in accordance with payor protocols.
  • Collect deposits, copays, deductibles, and payments for non-covered services.
  • Utilize tools to ensure compliance with payor payment authorization protocols.
  • Assist patients with completing financial packets and establishing financial arrangements according to hospital policies.
  • Complete the Advanced Beneficiary Notification for Medicare patients as required.
  • Record and maintain comments in the system to ensure accurate follow-up.
  • Assist the admitting supervisor and director with patient-related duties as needed.
  • Manage patient room assignments in collaboration with nursing staff and ensure proper placement.
  • Provide professional and courteous service to patients, families, visitors, and hospital staff.

What We're Looking For :

Experience :

  • Minimum two (2) years of experience in healthcare, insurance, or a related field.
  • Experience in an inpatient or outpatient admissions setting or a physician's office is preferred.
  • Knowledge of patient accounting, insurance payor systems, and medical terminology.
  • Strong communication skills, both written and verbal, to interact with patients, payers, and hospital staff.
  • Ability to work both independently and as part of a team.
  • Computer literacy required.
  • Bilingual (Spanish) preferred.

    • Education :

  • High School diploma or equivalent required.
  • Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred.

    • Licensures / Certification :

  • Must successfully complete and maintain LA City Fire Card certification within the first 30 days of employment.
  • Must successfully complete and maintain Managing Aggressive Behavior certification within 30 days of employment.

    • Why You'll Love Working Here :

    Supportive Environment :

  • We prioritize teamwork, professional growth, and a positive work culture.

    • Impactful Work :

  • Your role will directly contribute to the smooth operation of our organization.

    • Professional Development :

  • We offer continuous learning and advancement opportunities to help you grow in your career.

    • General Responsibilities :

  • Maintain a professional atmosphere in the hospital at all times.
  • Adjust to changes in department schedules as required, filling in during emergencies when necessary.
  • Respect patients' privacy in accordance with the Patient's Bill of Rights and HIPAA regulations.
  • Attend and participate in departmental meetings, staying informed on all communicated updates.
  • Ensure smooth teamwork and cooperation with other departments.
  • Foster a positive public image by interacting professionally with patients and visitors.

    • Work Environment :

  • Primarily an indoor building / office environment with good lighting and ventilation.
  • Fast-paced work with variable workload and frequent interruptions.
  • Frequent interaction with staff, patients, and the public under diverse circumstances.
  • Occasionally exposed to emotional situations involving accidents, illness, or death.
  • Potential exposure to hazards from chemicals, flammable materials, and equipment.

    • Physical Demands :

  • Continuous (66-100%) : Sitting and standing / walking with frequent position changes.
  • Frequent (33-65%) : Reaching, grasping, and using hands for fine motor tasks.
  • Occasional (0-32%) : Lifting and carrying objects up to 25 pounds.
  • Continuous use of near vision, hearing, and verbal communication to interact with patients and staff.

    • Key Responsibilities :

  • Patient Care Excellence : Champion a positive patient experience, ensuring high standards of care and safety.
  • Team Leadership : Mentor and support staff, fostering a collaborative and efficient work environment.
  • Operational Management : Oversee scheduling, resource availability, and staff assignments to ensure smooth operations.
  • Communication & Collaboration : Facilitate clear communication between patients, families, staff, and physicians.
  • Performance Improvement : Participate in quality initiatives and ensure compliance with regulatory requirements.

    • $24.00 - $26.57 per hour

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    Patient Representative Per Diem • Van Nuys, CA, US