Patient Access Services Representative I​/II - Kern Medical Surgery Center, LLC Reach and Grow Clinic-

Job Category: Admitting/Patient Registration

Requisition Number: PATIE
005538

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Bakersfield, CA 93301, USA

Kern Medical, LLC offers a range of primary, specialty, and multi-specialty services including pregnancy care, behavioral health services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical, LLC cares for 15,500 inpatients and 125,000 clinic patients a year.

Position:
Patient Access Services Representative (PASR) I/II

Compensation

The estimated pay for this position is PASR I - $21.42 - $28.79 hourly. PASR II - $22.19 - $29.82 hourly. Additional compensation may be available for this role through differentials, incentives and bonuses. In addition, this position may be eligible for participation and company contributions into 401(k).

Job Description

Under supervision, performs patient access, registration/admitting and financial counseling activities, which may include: patient pre- registration/registration, and admitting, patient financial counseling, researching and evaluating federal, state, and commercial insurance funding issues and screening patients for alternative government funding.

Distinguishing Characteristics:

The Patient Access Services Representative I is the first level of the Patient Access Services Representative classification series. Incumbents have hospital/healthcare knowledge or experience and are expected to gain specific knowledge of the importance of patient and insurance demographic information and the availability of payment options. Assignments may be made in registration/admitting, financial counseling, or related patient access areas. This classification is distinguished from Patient Access Services Representative II in that the latter performs more responsible, complex assignments.

Promotion to Patient Access Services Representative II is based upon recommendation of the department head and approval of the Director of Personnel.

Essential Functions:

• Greets patients, reviews process, and schedules appointments for exam or follow-up.
• Assembles all data and documents required for complete patient registration, including, but not limited to pre-admission, admission, pre-registration, and registration functions; completes all insurance verifications and authorizations.
• Enters all patient demographic information into the hospital’s EHR (Electronic Health Record) system; uses other department applications for eligibility and authorization.
• Assesses patient financial responsibility and collects co-pays, co-insurance, out of pocket, share of cost and/or deductibles at time of admission.
• Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered.
• Interviews patients at the workstation and/or at the bedside to determine possible eligibility for state-funded programs.
• Obtains and documents funding information from patients and provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned.
• Uses payer resources and websites to explore and assess eligibility; initiates referrals for Medi-Cal, CMS, CCS, and KMCHP; administers KMC Financial Assistance Policy and Procedures to determine patient eligibility for discounted prices or charity care.
• Works in collaboration with all areas of the revenue cycle to identify and resolve issues and/or barriers.
• Enters a variety of fiscally related information into databases; maintains fiscal records and files.
• Submits and responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems.

Other Functions:

• Performs other related duties as assigned.

Employment Standards:

Level I:

High School diploma or GED and six (6) months of patient access experience OR an equivalent combination of education, training, or experience sufficient to successfully perform the essential duties of the job.

Level II:

High School diploma or GED and one (1) year of patient access experience OR an equivalent combination of education, training, or…