Patient Access Representative, Main Admitting

Overview

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.

Patient Access Representative

Employment Status: Full Time (72-80 Hours Per Pay Period)

Job Category: Admin Professional

Salary Range (DOE): $24.00 - $26.57 per hour

• Register patients in a professional and courteous manner and conduct patient/guarantor interviews.
• Explain hospital policies and verify financial and demographic information for accurate documentation.
• Work with patients to obtain all necessary authorizations and pre-certifications to meet individual payor requirements; provide a smooth and welcoming experience for patients.
• Assist with compliance and accuracy in registration processes and revenue routing.

• 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 (insurance cards, personal identification, 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.

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

• 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

• 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.

• 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.

• 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.

• 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.

Ready to Elevate Your Career? Join us at Valley Presbyterian Hospital and be a part of a team dedicated to excellence in patient care. Apply today to lead, inspire, and make a difference!