Non-Clinical - Administrative - Patient Access Representative

Patient Registration Representative I Shift
-Mon-Fri, hours may vary, 10:30am - 7pm Must be available to train 7-5 for the first 2 weeks POSITION SUMMARY Performs all tasks related to pre-registration, and registering of inpatients and outpatients including securing and calculating upfront collections with co-pays, and co-insurance in an efficient, accurate and hospitable manner to ensure that patient, physician and hospital needs are met. Completes the Hospital Presumptive Eligibility comprehensive training program as required to properly interview and screen uninsured patients.

Evaluates patients within the established guidelines to assist in identifying state programs that patients may qualify and link to temporary M/Cal coverage and possible full scope M/Cal. Initiate and completes the application process for benefits by assisting applicants with the completion of all the necessary paperwork. Compiles records and assess information to determine eligibility status, including number of people in applicant's household.

Documents and update efforts in our database to ensure we have current updates on the outcome and successful completion of process. For Emergency Registration Representatives they will continue to enhance their registration knowledge along with the fundamental financial counseling skills required and expected of the financial counselor role, which is inclusive of the diverse financial programs offered at PIH Health.

SPECIFIC SKILLS NEEDED Must have excellent written and verbal communication skills to communicate effectively with staff, patients, guarantors, insurance companies, and physicians. Demonstrated attention to detail;
Good English speaking, spelling, reading and Mathematical skills required Demonstrate ability to learn quickly, and follow directions as outlined in policies or given by Supervisor Strong Computer skills and Knowledge in Word, Excel and ability to maneuvering through multiple screens in a timely manner 1+ year of medical office /hospital work experience preferred Medical terminology knowledge strongly preferred Insurance knowledge required Ability to multi- task in a fast and high pressured environment Stringent adherence to all HIPPA laws Strong typing skills 45 and up wpm is required Strong analytical skills, problem solving.

The ability to act and decide accordingly. Complete HPE comprehensive training program as required Excellent Customer service and phone skills with a background in the medical industry Ability to travel to off-site locations (Outpatient only) EDUCATION/EXPERIENCE/TRAINING One year experience in a high volume healthcare facility or medical office setting with strong computer and customer service experience required High school graduate required or equivalent, evidence of continuing education preferred.

Medical terminology strongly preferred Insurance and billing experience strongly required Drivers License; ability to travel to off-site locations (Outpatient /Financial counseling only) Bilingual Spanish or Chinese (Mandarin) preferred HPE comprehensive training program and certification DUTIES AND RESPONSIBILITIES
1. Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies.
2. Ensures a safe patient environment and adherence to safety practices per policy.
3. With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care.
4. Guest Relations:
Exhibits positive guest relations skills by extending oneself and being hospitable to patients, physicians, coworkers, and visitors at all times. Warmly greets these by name and introduces self by name. Uses the phrase, "How can I help you?" as a first line of communication. Anticipates concerns and provides an explanation of the interview process. Full disclosure is provided to patient when starting the interview and screening process for Hospital Presumptive Eligibility and/or Uncompensated application so they understand the process.

Utilizes translators if available or new translating system Stratus as necessary to ensure patient fully understands the information being discussed with them. Displays a teamwork approach, considering the impact of his/her decisions, actions and behaviors on others. Works with the agency workers and representatives to create a positive working relationship that will provide a smooth process for the patient. Responds to others in a constructive, non-defensive manner.

Maintains a professional appearance at all times, wearing uniforms or adhering to department dress code requirement, as per policy . Answers telephone by the third ring and states, "______ department, this is ______, and how can I help you?" Expresses ideas clearly, actively listens and always follows appropriate channels of communication. Maintains…