Providence St. Joseph Health is calling a Patient Access Representative PSJH to our location in Mission Viejo, CA.
Successful candidates may be eligible for a sign-on bonus of $1,000 and internal caregivers may receive a referral bonus for succesful external referrals.
We are seeking a Patient Access Representative PSJH to be responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for unscheduled visits by collecting accurate demographic information, insurance information, and collecting patient liability at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts. The Patient Access Representative greets and serves patients in a professional, friendly, and respectful manner to promote positive encounters. All information is gathered while adhering to regulation and compliance requirements and guidelines and is documented timely and accurately.
In this position you will have the following responsibilities:
Perform full duties and tasks of an Associate Patient Access Representative.
Assist patients with the financial assistance process to include screening.
Read and understand patients insurance, eligibility and benefits.
Understand the Authorization Policy and works with leadership and physicians office to determine if the patients procedure is urgent/emergent for possible service deferral.
Send notifications to insurance companies on inpatient and observation patients and communicates with Case Management if clinicals are required and documents in MEDITECH notes.
Confirm all procedures have required authorizations.
Calculate patients liability, provides estimates, collect patient portion and perform cashiering functions.
Obtain all information necessary to perform benefits verification for unscheduled visits.
Assist patients with on site customer service functions .
Ability to close cash drawers and make deposits.
Act as a knowledgeable resource on Patient Access for department staff .
Review own work for accuracy and completeness prior to end of shift.
Adhere to state and federal regulations.
Meet productivity, point of service collections, and quality goals/standards.
Advanced Knowledge/Skills/Abilities: List of knowledge, skills and abilities required to perform the essential functions of this position.
Knowledge on navigation of Health Plan Websites.
Knowledge of billing codes .
Knowledge of medical insurance and the different types of payer benefits.
Preferred qualifications for this position include:
Associate's Degree in Healthcare or Business Administration.
BLS - Basic Life Support.
Certified Healthcare Access Associate .
Certified Revenue Cycle Specialist .
3 years Experience within Patient Access of Business office setting.
Experience with insurance eligibility systems.
3 years Utilization of medical terminology in job setting.
Knowledge in medical billing codes.
1 year Knowledge of Epic Applications.
Demonstrated knowledge of CPT and ICD coding and medical terminology. Basic knowledge of insurance and managed care payors, healthcare registration, Medicare Secondary Payor, EMTALA and ABN.
About the department you will serve.
One Revenue Cycle is the name adopted to reflect the Providence employees who work throughout Providence Health & Services in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORCs objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
We offer a full comprehensive range of benefits see our website for details http://www.providenceiscalling.jobs/rewards-benefits
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of Gods healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Patient Services
Location: California-Mission Viejo
Req ID: 349755
Posted Date : 2022-04-21
Expiry Date : 2022-07-21
Job type : Part Time