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Patient Access Representative

Job ID SAH-2010147 Date Posted 08/01/2020 Location Jackson, California Schedule/Shift On-Call/ Variable
Position Overview:
The Patient Access Representative Greets, identifies and registers the patient at the point of service, activates or initiates the medical record and account. Obtains consent signature(s). Collects and receives patient’s payments and valuables, verifies insurance benefits and eligibility, completes payer notification, and may secure authorization for payment on assigned accounts. This position is required to work holidays, weekends, various shifts, and provide coverage to other positions or areas as needed to meet department and patient needs. Provides coverage for other functional jobs in order to cover shifts. May mentor other staff.
Principal Accountabilities
Collects appropriate co-pays, deposits and issues receipts.
Completes Registrations in accurate and timely manner with 97% accuracy. Ensure all authorizations and signatures are obtained. Completes third party payer forms.
Contacts employers for worker's compensation cases to obtain and document carrier information. Documents information in computer systems. Makes copies as needed.
Notified department or nursing station of patient's arrival. May transport patient to a department. Provides excellent customer service to patient, family and visitors.
Provides functional guidance and direction to new employees.


Qualifications:
Education, including Licensure, Certification, Registration
  • High School Diploma or equivalent.
  • Certification from a technical school preferred.
  • Completion of Medical terminology course preferred.
  • CHAA certification preferred.
Knowledge
  • Knowledge of insurance authorization required to include Managed Care, Medicare, and Medi-Cal and other commercial payers requirements.
  • Medical terminology required and expertise must be demonstrated.
  • Knowledge of Patient Registration Process required.
  • Knowledge of EMTALA and Consent Laws required. 
  • Use of Microsoft Outlook e-mail required.
  • Knowledge of Community Resources required.
  • Effective verbal and written English skills.
  • Knowledge to utilize all IT applications within the Patient Access department, including, but not limited to MS4, Document Imaging, Navicare, Internet Insurance Verification, AETS, Kronos, eLearning, Public Folders, etc.
  • Ability to understand variances in payer requirements based on type of service and/or procedure, for inpatients and outpatients preferred.
  • Ability to effectively communicate payer requirements to patients and/or patients’ family members.
  • Ability to maintain quality standards and proficient performance standards during high activity and/or stressful situations required.
  • Demonstrated ability to organize/prioritize and handle multiple demands and interruptions while maintaining a high energy, flexible, and optimistic attitude.
  • Use of industry utilized insurance verification systems (HDX, IDX, and POS, etc.) an asset.
  • Demonstrated ability to utilize a variety of computer applications and access specific Internet Web sites for information and become competent in any other new technology that is introduced and becomes departmental standard.
  • Able to work independently.
  • Ability to maintain quality standards and proficient performance standards during high activity and /or stressful situations must be demonstrated.

Experience:

  • Two years experience in a healthcare setting or insurance related field preferred.
  • Customer service experience preferred.
Skills:
  • The Patient Access Registrar Proficient Level answers multiple requests for information/direction or refers these requests to appropriate source.
  • The Patient Access Registrar Proficient has the ability to apply common sense understanding to carry out detailed written and oral instructions also has the ability to deal with problems involving a few concrete variables in standardized situations.
  • Able to verify insurance benefits, and initiate authorizations.
  • Can provide in depth understanding and guidance to coworkers and contribute to improve department service levels as identified.
  • This position contributes actively to department improvement activities.
  • This position may serve actively in the mentor role for new employees and must participate in the peer review process.
  • Employees in this position may represent the department in meetings both internal and external, may be requested to act in interim positions and may conduct special in-services for peers as arranged.


Organization: Sutter Amador Hospital
Employee Status: Regular
Employee Referral Bonus: No
Benefits: No
Position Status: Non-Exempt
Union: No
Job Shift: Variable
Shift Hours: 8 Hour Shift
Days of the Week Scheduled: Varied Days
Weekend Requirements: Every Other Weekend
Schedule: On-Call
Hrs Per 2wk Pay Period: On-Call

Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans

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