Patient Access Representative
Emc - Eden Medical Center
Serves as the face to face point of contact for patients. This job is intended for use by positions employed by a hospital. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings.
Job Accountabilities:
- Greets patients/family members and obtains and/or verifies demographic, clinical, financial, and insurance information in the process of financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient registration/accounting systems, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents.
- Utilizes inputs to authenticate and register patients for service delivery for patients who have registered through the Patient Access Center; for those who are not registered, completes the end-to-end process of registration through close-out for service delivery.
- Obtains and processes signed physician orders.
- Maintains assigned work queue.
- Conducts insurance eligibility/benefit verification, referral/authorization, and financial education on designated accounts.
- Calculates estimated patient liability, informs patient/guarantor and actively collects appropriate patient liabilities, including co-payments, deductibles, and deposits at time of service and/or processes patient payments, accepts payments on prior services.
- Refers appropriate cases to financial counseling for follow-up and consultation.
- Executes other duties as assigned, such as cashiering, bed management, and communications operator.
- Enhances the patient experience throughout all patient interactions, which will be face-to-face or by other means of communication demonstrating knowledge of Sutter's Health system and service offerings.
Continuous Improvement:
- Supports the implementation of programs, policies, initiatives, and tools.
- Contributes ideas and actions towards the continuous improvement of Patient Access related processes within area of influence.
People Development:
- Adaptable to learning new processes, concepts, and skills Seeks and responds to regular performance feedback from team lead; provides upward feedback as needed.
Relationship Management:
- Maintains positive work relationships with members of other teams to communicate effectively and to ensure compliance with cross-team responsibilities.
- Assists in ensuring efforts of the team to support building strong peer-to-peer relationships.
Patient Satisfaction:
- Performs revenue cycle tasks necessary to ensure compliance and exceptional customer service.
- Authenticates patient identity throughout all processes.
- May provide directional support to patients and/or family members.
- Maintains knowledge of applicable Federal, State, and local laws and regulations, Standards of Conduct, Standards of Behavior, as well as Sutter policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Meet the department monthly cash goal.
Education:
- HS Diploma or General Education Diploma (GED)
Typical Experience:
- 1 year of recent relevant experience.
Job Shift:
Day/Evening/Night
Schedule:
Per Diem/Casual
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
Rotating Weekends
Benefits:
No
Unions:
Yes
Position Status:
Non-Exempt
Weekly Hours:
0
Employee Status:
Per Diem/Casual
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $29.24 to $37.03 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.