Patient Access Representative III - OC

3 days ago Be among the first 25 applicants

This range is provided by City of Hope. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$25.00/hr - $36.00/hr

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life‑threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix.

Our dedicated and compassionate employees are driven by a common mission:
To deliver the cures of tomorrow to the people who need them today.

Work Hours are Monday - Friday. With a start time of no earlier than 8am and end time of no later than 6:30pm. 8 hour work day.

The role is responsible for the check‑in and check‑out of patients on behalf of medical group physicians and other licensed providers. This role requires a high level of independent judgement in order to successfully coordinate the scheduling of patient appointments across multiple hospital departments. This individual is expected to utilize telecommunications and computer information systems to create accounts, verify information and insurance, collect co‑pays, schedule and re‑schedule complex appointments.

The Patient Access Representative III is best defined as a highly independent and flexible resource that focuses on system‑specific service lines that are in alignment with the patient experience initiative. Furthermore, this role must multi‑task between different patient care areas to ensure an extraordinary patient experience and that quality standards are met. Additional duties include, but are not limited to: physician to patient communication and serving as an information resource.

• Demonstrates an in‑depth understanding of the flow of the patient registration and scheduling process within the paper and electronic environments. Registers, pre‑registers, consents and schedules all patient appointment types, across the clinics, ancillary areas and hospital. Creates pre‑registration record and links pre‑registration record to scheduled appointments. Proactively coordinates appointments with other functional areas. Maintains department productivity, accuracy, and quality assurance standards while performing these duties.
  
  Ensures data is entered accurately for all patient demographic and insurance information. Completes all required legal documents, and obtains and scans all other related documents. Performs cash collection functions, patient pricing estimates, ETC admission.
• Ensures that financial protocols and requirements are met while providing access to service at COH facilities by reviewing account documentation. Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecured financial accounts to management. Provides patient with itineraries, advance beneficiary notice and written instructions for tests and procedures as applicable.
  
  Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues and ensuring financial clearance of account. Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process. Provides Financial Assistance applications to all uninsured patients. Screens ordered tests and communicates to physician and/or ABN Specialist those tests and/or diagnoses that do not meet criteria to be covered by Medicare.
• Assures that the correct pre‑registration visit encounter type is linked to the scheduled appointment. Creates a request for authorization of service if applicable. Sends orders for diagnostic tests to appropriate department. Assures that documentation indicating the date of service and the visit number accompanies the orders for diagnostic testing.

• Ensure a…