Kern Medical Surgery Center, LLC - Stockdale ClinicsPosition: Patient Access Services Representative III - Bilingual Preferred$24.7687 - $30.4624 hourlyJob Description Under supervision, performs patient access, registration/admitting and financial counseling activities, which may include: limited shift supervision responsibilities, all phases of patient registration and admitting functions, patient financial counseling, researching and evaluating complex federal, state, and commercial insurance funding issues and developing methods, policies, and procedures for an assigned area. DISTINGUISHING CHARACTERISTICS: The Patient Access Services Representative III is the lead level of the Patient Access Services Representative classification series. Incumbents are expected to have advanced knowledge of all phases of insurance funding and possess excellent customer service skills in dealing with patients both in person and on the telephone. Assignments may be made in registration/admitting, financial counseling, or related patient access areas, and may include limited supervisory responsibilities on an assigned shift.Essential Functions:
- Greets patients, reviews process, and schedules appointments for exam or follow-up.
- Serves as a lead to include assigning and monitoring work, training employees on work methods, and providing direction; may supervise staff including conducting performance evaluations and making hiring, disciplinary, and termination recommendations.
- 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 STAR system; uses other department applications for eligibility and authorization.
- Assesses patient financial responsibility and collects co-pay, co-insurance, out of pocket, share of costs, 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.
- Performs other related duties as assigned.
Employment Standards:High School diploma or GED and two (2) years of patient access experience OR an equivalent combination of education, training, or experience sufficient to successfully perform the essential duties of the job. Employees must maintain all health requirements designated by Kern Medical.Knowledge of: state and federal government funding programs such as Medicare, Medi-Cal, CCS, Workers' Compensation; commercial insurance payers such as indemnity, PPO, Managed Care, and HMO plans; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical and insurance terminology; HIPAA privacy and compliance practices.Ability to: communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines; coordinate and review the work of others; obtain information from a variety of sources, including patients and families; use computers and various software to accomplish work; establish and maintain effective working relationships with patients, families, and other internal and external customers; use tact and empathy in working with patients and families under stressful situations; perform work effectively with frequent interruptions; perform multiple tasks in a fast paced environment; lift, carry, push or pull files; sit at work station for prolonged periods of time; and report to various departments throughout the hospital. A background check will be conducted for this classification.