Patient Service Representative

Job Summary and Responsibilities

As our Patient Service Representative, you will ensure complete, accurate and timely entry of insurance information into a legacy system, either at the time of service or during pre-registration/pre-admission. You will verify insurance benefits on all assigned scheduled admissions and outpatient services. You will also verify insurance benefits on all urgent/emergent admits within 24 hours of service.

Every day you will obtain insurance verification, referral, authorization and pre-certification, and document this information into the legacy system. You will verify patient liabilities by using electronic verification systems during pre-registration. You will determine patient financial responsibilities at the time of service and collect co-payments, deductibles, or co-insurance.

To be successful in this role, you will utilize the AIDET principle to communicate with others, with a focus on patients and their families. You will provide clarification of the division of financial responsibility to the patient, and document it in the system. This includes complying with HIPAA, PHI, and its implications, and other regulations which affect the registration process. You will act as a resource to other hospital departments on insurance benefits and requirements.

Job Requirements

Required

• High school diploma or High school GED or
• One (1) year of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles
• Applicable education and/or training can be used in lieu of lack of experience

Where You'll Work

Dominican Hospital (a member of Dignity Health) is a 222-bed facility that offers a wide range of services to residents of California's Central Coast. With 24/7 emergency care, comprehensive care in cardiac, orthopedics, oncology, women's and children's services, we continue to lead the region in medical innovation and excellence in healthcare.


Comprehensive Care
Dominican offers emergency services and is a Certified Stroke Center and Chest Pain Center. Dominican's services include the only comprehensive Cancer Center in Santa Cruz County, a Total Joint Replacement program, and advanced neurological and endoscopic services. Dominican regularly receives 'A' grades for hospital safety from Leapfrog Group, and has received national recognition for superior patient safety, cardiac care, and stroke treatment from Healthgrades, a leading provider of comprehensive information about physicians and hospitals.
As Santa Cruz County's heart attack (STEMI) receiving center, Dominican Hospital provides cutting edge cardiac care. The hospital's heart attack treatment times consistently beat the national average, and the hospital offers two cardiac catheterization labs available 24 hours a day, 7 days a week. Groundbreaking cardiac procedures at Dominican include the Transcatheter Aortic Valve Replacement (TAVR) procedure, which allows for heart valve replacement without opening a patient's chest.

Dominican Hospital has forged significant partnerships with area hospitals to bring exceptional care to Santa Cruz County. The hospital offers a level III Neonatal Intensive Care Unit (NICU) through a partnership with Lucile Packard Children's Hospital Stanford. Neurosurgery at Dominican is also offered through a partnership with Stanford Health Care.

One Community. One Mission. One California