Patient Access Rep

Job Summary:

Primarily responsible for providing effective customer service for all internal and external customers by utilizing excellent, in-depth knowledge of hospital admissions and outpatient services.

Essential Values-Based, Leadership and Management Competencies:

Demonstrates competencies in line with the five core values that are the foundation of all activities performed by employees in order to achieve the Mission of Artesia General Hospital.

• Mission:  Our mission at Artesia General Hospital is to provide high-quality healthcare to our community and the surrounding areas.
• Vision:  To transform healthcare in our communities through innovation, engagement, and quality, while building a healthier tomorrow for generations to come.
• Values: Our values are covered in SERVICE
• Servant Leadership
• Excellence
• Respect
• Virtuousness
• Innovation
• Community
• Education

ESSENTIAL FUNCTIONS:

• • Interview patients to obtain insurance benefits, proof of coverage and pre-certification/authorization for inpatients, surgical patients and required outpatients.
  • Registers outpatients and prepares proper documentation for outpatient procedures where applicable.
  • Processes inpatient admissions and prepares proper documentation for services where applicable.
  • Accepts patient payments and records appropriately.
  • Greet and assist patients and visitors in a manner consistent with Hospital customer service guidelines.
  • Advise patients regarding insurance coverage and estimate patient’s responsibility.
  • Inform patients of available sources of assistance from outside public and private agencies or refer patient to financial counselor.
  • Obtain verification of insurance coverage and benefits payable from insurance companies or other third party payers.

ADDITIONAL RESPONSIBILITIES:

• Perform other functions as required.

KNOWLEDGE/SKILL/ABILITIES:

• Basic computer knowledge
• Basic medical terminology
• Good typing skills

AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills (cognitive, technical and interpersonal) necessary to identify age-specific patient needs appropriate for all age groups.

Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.

Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.

MINIMUM POSITION QUALIFICATIONS:

• Education – High school diploma or equivalent.
• Work Experience – Customer service experience preferred, good communication skills required.
• Training – N/A
• License/Certification – N/A

ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.

MINIMUM POSITION QUALIFICATIONS:

• Education – High school diploma or equivalent.
• Work Experience – Customer service experience preferred, good communication skills required.
• Training – N/A
• License/Certification – N/A