Patient Access Representative II Bonus

Patient Access Representative II

About Valley Presbyterian Hospital

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 II to join our dedicated team.

Position: Patient Access Representative II

What You'll Do: As a Patient Access Representative II, you will be responsible for performing advanced patient access duties, including scheduling, pre-registration, registration, and financial clearance. This role ensures accurate data entry into Meditech, securing pre-certifications, and verifying insurance coverage while providing excellent customer service. The Patient Access Representative III plays a critical role in maintaining smooth patient access operations and assists the supervisor in overseeing staffing schedules and resolving complex patient inquiries.

Responsibilities

Accurately schedule and pre-register elective procedures and services.

Pre-register and schedule patients using Meditech Community Wide Scheduling (CWS) module.

Ensure proper physician orders and adherence to hospital regulations for scheduling.

Obtain and verify financial and demographic data necessary for patient registration.

Verify insurance benefits and eligibility for services and ensure pre-certifications/authorizations are obtained according to payor requirements.

Obtain Letters of Agreement for patients capitated to other facilities and ensure financial clearance is in place before the patient’s procedure.

Calculate patient financial responsibilities and negotiate payments with private pay and underinsured patients.

Assist in obtaining payments for co-pays, deductibles, and non-covered services.

Assist patients with information about financial options, including cash, check, credit card, and bank financing.

Maintain an accuracy level of 97% in data entry for patient demographics and financial information.

Collaborate with the Supervisor or Director to resolve escalated issues or problem accounts.

Ensure compliance with EMTALA regulations for Emergency Department registrations.

Maintain patient privacy and adhere to HIPAA standards.

Provide transportation escort and services for patients as needed.

Perform additional duties as assigned, ensuring flexibility to work in all areas of Patient Access Services.

What We're Looking For:

Experience:

Minimum of two (2) years of experience as a Patient Access Services Representative

Strong computer literacy skills

Excellent communication and public relations skills

Knowledge of medical terminology

Bilingual (Spanish) preferred

Strong organizational and documentation skills.

Education:

High School diploma or equivalent required

Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred

Licensures/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

Why You'll Love Working Here:

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.

General Responsibilities:

This position is designed for a detail-oriented individual with strong communication and organizational skills, committed to delivering high-quality patient access services.

The Patient Access Representative III ensures the smooth functioning of patient scheduling, pre-registration, and registration processes, contributing to the overall efficiency of the hospital’s operations.

Comply with VPH policies, demonstrating professionalism and cultural sensitivity.

Communicate accurately and supportively with team members, demonstrating effective business writing and oral communication skills.

Actively participate in performance improvement activities and department-specific training.

Demonstrate knowledge of safety practices, including infection control protocols.

Contribute to the Patient Safety Program by reporting near misses and participating in education activities.

Work Environment:

Primarily an indoor office environment, well-lit and ventilated.

Fast-paced work environment with frequent contact with staff and the public.

Requires clear communication with staff, physicians, vendors, patients, and families from diverse backgrounds.

Handles interruptions and inquiries while managing emotional situations involving patient care.

Physical Demands:

Frequent sitting with occasional standing and walking.

Continuous use of hands for typing and grasping, with occasional reaching above shoulder level.

Occasional lifting of objects up to 25 pounds.

Continuous use of near vision, hearing, and verbal communication.

Key Responsibilities:

Patient Care Excellence: Champion a positive patient experience, ensuring high standards of care and safety.

Team Leadership: Mentor and support staff, fostering a collaborative and efficient work environment.

Operational Management: Oversee scheduling, resource availability, and staff assignments to ensure smooth operations.

Communication & Collaboration: Facilitate clear communication between patients, families, staff, and physicians.

Performance Improvement: Participate in quality initiatives and ensure compliance with regulatory requirements.

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!

$23.22 - $27.22 per hour