Patient Access Representative at Valley Presbyterian in Van Nuys, California

Job Description:

Job Summary:

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.

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

Licensure/ 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

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.

 Salary Range:$23.00 to $26.57 per hour