Patient Access Services Representative - Van Nuys, United States - Valley Presbyterian

Mark Lane

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Mark Lane

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Description

Employment Status:

Per Diem

  • Job Category:

Administrative & Professional

  • Salary Range (DOE):

$ $24.12 per hour


Valley Presbyterian Hospital is a stand alone, 350-bed community hospital and one of the largest and most prestigious full-service acute care facilities in the San Fernando Valley.

Valley Presbyterian is a certified STEMI receiving center and Stroke Center. We are dedicated to the health and wellbeing of the San Fernando Valley.

Working here means becoming part of an organization that not only cares for the patients inside our walls but also takes seriously a responsibility to be a vital asset to the community we call home.

Through community benefit programs, volunteerism, and philanthropy, the people of VPH extend our organization's impact far beyond our campus, deeper into the lives of those who need help.

Valley Presbyterian Hospital is a place where you can grow professionally and have a career in a supportive environment. You voice can make a difference in the quality of care provided to our patients. Experience the difference; the difference you can make and the difference a supportive environment has on your well-being. You are not alone, we are a team, a family.

We welcome those who want to join us in this vital work.


JOB SUMMARY:

Registers patients in a pleasant, professional, and timely manner, being sensitive to guest services. Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities, and patient bill of rights. Handles all routine patient inquiries related to the registration process. Insures all necessary demographic and financial data is obtained, and accurately documented into the system. Identifies payor source for routing of revenue generated during the patient stay. Ensures that any pre-certification and/or authorization is obtained to meet individual payor payment authorization protocols.


EXPERIENCE/QUALIFICATIONS:


  • Minimum 2 years of experience in healthcare, insurance or related experience.
  • Previous work experience in an inpatient or outpatient admissions setting or physician's office, preferred.
  • Knowledge / experience in patient accounting or with an insurance payor preferred.
  • Knowledge of medical terminology
  • Strong interpersonal, written and oral communication skills for interacting with patients, payers, physicians and other customers.
  • Demonstrated ability to work well as a team player and independently.
  • Computer literacy
  • Bilingual Preferred (Spanish)

EDUCATION:


  • High School graduate or equivalent
  • Some college and/or medical terminology coursework preferred.

LICENSURES/CERTIFICATION:


  • Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment
  • Must successfully complete and maintain certification for Mgmt of Assaultive Behavior (ex. CPI
  • Nonviolent Crisis Intervention) within 30 days of employment.

DUTIES AND RESPONSIBILITIES (
These are the essential job functions for this position. The essential functions of this job include, but may not be limited to those listed in this job description.

Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others)
:


  • Interviews and registers patients in a courteous manner and in compliance with the hospital's policies and procedures.
  • Ensures "EMTALA" rules and regulations are strictly adhered to when registering patients through the emergency department
  • Enters required data in the system, with emphasis on accuracy of demographic data and financial information, thus ensuring appropriate revenue routing
  • Validates existing data related to prior registration and updating appropriately in the system.
  • Enters all patient demographic and financial information with an accuracy level of 97%.
  • Scan all necessary insurance information including insurance cards, personal ID, driver's license, etc
  • Responsible for follow up on registrations performed outside of the primary registration area (ie. Conditions of Admission, Advance Directive, demographics).
  • Ensures that Advance Directives are executed when applicable.
  • Obtains insurance information and if applicable accident/work comp information. Verifies information, updates account and face sheets to accurately reflect patient's insurance/coverage information and collectability of accounts.
  • Identifies the appropriate payor source (plan ID, financial class, etc) and enters the information in the system.
  • Ensures that all precertifications/authorizations are completed within the specified time frames as mandated by the payor's payment authorization protocols.
  • Ensures documentation of financial activity.
  • Requests and collects deposits, deductibles, copays and payment for noncovered services to reduce bad debt expense. Provides payment options in the

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