Patient Access Representative

Description:

Please include the following information at the time of submittal in the comments section in FG:
Location:
Vaccination Status + Booster Status ***** Don't note on Resume**
The job seeker is ok with 100 % on-site:
****CANDIDATES MUST BE LOCAL TO IRVINE OR WITH 30 MILE RANGE****
• Campus or Medical Enterprise: MEDICAL ENTERPRISE
• USC Address where the work is being performed? 17500 Red Hill Ave, Keck Medical
• Will this position be virtual/remote? 100 % on-site*******
• Job Title: Insurance Verifier
• Number of needs: 1
• Pay rate: #####
• Bill rate: #####
• Mark up: 31.5%
• Target start date: 9/19/2022
• Duration of Assignment: 13 weeks, extension possible for best candidates.
• Work hours: 8:15 am to 4:45 pm
• Manager Name: Rosario Toste
• Timecard Approver: Rosario Toste
• Dress code: Business Casual
• Parking: N/A


MUST HAVE'S:
High School Diploma
Medical background
*****In-depth knowledge of all insurance types, including government health programs


Job Description:
Has in-depth knowledge in all the functions of the Admitting Department. Must have excellent communication skills, including the ability to speak, read and write English proficiently. Must be comfortable with computers and medical terminology. In-depth knowledge of all insurance types, including government health programs


1. Responsible for obtaining insurance information /verification/authorization to ensure financial clearance of patient accounts. Updates both professional and or hospital registration systems.
2. Responsible for completing all registration and insurance fields in both professional and/or hospital registration information systems.
3. Responsible for completing Medical Necessity on all Medicare accounts as required
3. Responsible for calling insurance or use Internet portals to obtain and document:
a. Insurance eligibility and benefits
b. Financial responsibility
c. Authorization, pre cert's as required
d. Contacting Medical Groups/IPA'S as needed
4. Responsible for calculating patient liability on hospital accounts
5. Ensure all insurance plans are properly selected in all registration and scheduling information systems.
6. Responsible for clearing assigned worklists in any of the information systems.
7. Communicate with physician offices regarding proposed admissions, special procedures, outpatient referrals and same day surgeries.
8. Responsible for preparing pre-registration on scheduled procedures ie. Ancillary , diagnostic, surgeries
9. Contact patients and/or MD office as needed for additional information
10. Utilize Fax applications as appropriate
11. Perform document imaging as required
12. Assist Supervisor as needed with special projects and other duties assigned


Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.
COVID 19 Vaccination is required + required Boosters
CORE - Background
Social Security Trace
Worked and lived found by SSN Trace - 7 year
County Criminal F&M - 7 year
Federal Criminal - 7 year
Widescreen Plus National Criminal Search
Healthcare Sanctions - State
OIG/SAM
Application
Temporary Work Agreement
Education - Primary Source of Highest Level
Employment - 3 Employers - Must verify 2 out of 3-
HIPAA
Harassment and Discrimination
National Sex Offender Registry
Influenza for Current Flu Season


**Note: ALL IS BILLABLE TO USC EXCEPT FOR DRUG SCREEN


Bloodwork (Titers) to show they are immune to MMR (Measles, Mumps and Rubella), Varicella (Chickenpox) & Hepatitis B, or in the event that they do not have this, provide proof they had injections (shot records):
• MMR - Series of 2
• Varicella - Series of 2
• Hepatitis B - series of 3


TB Test/PPD (yearly) - In case of positive TB history, must present chest x-ray results
Drug Screen - 10 panel - Must be taken within 72 hours or the offer is rescinded