Patient Access Representative (Full Time/Evenings)

Patient Access Representative (Full Time/Evenings) Job Category : Clerical Requisition Number : PATIE003008 Full-Time Hourly Range : $21.64 USD to $31.81 USD Locations Memorial Hospital of Gardena, Gardena, CA 90247, USA Description Job Title: Patient Access Representative - Full Time:5shifts per week, weekend availability required Job Summary : As the first point of contact for patients and visitors to Pipeline Health’s facilities, the Patient Access Representative (PAR) plays an important role in guiding patients through the admissions process, conducting eligibility screening, and preparing patient information for clinical departments. The PAR is responsible for obtaining demographic, insurance, and financial information, explaining required forms and obtaining necessary signatures. Verifies insurance eligibility and benefits, ensures notifications and authorizations are completed within required timeframes, collects and posts payments in the computer system, and generates a payment receipt. Actively and consistently contributes to department operations and communications, behaving in a manner consistent with the mission, vision, and values of Pipeline Health, upholding AIDET standards (Acknowledge, Introduce, Duration, Explanation, Thank you). Qualified applicants with arrest or conviction records will be considered in accordance with the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Essential Functions : Greet patients, visitors, and caregivers upon arrival. Collect patient information, including demographic data, insurance information, and medical history. Verify patient insurance eligibility and benefits. Respond to patient and caregiver inquiries to routine and sensitive topics always compassionately and respectfully. Collect copayments and other payments from patients. Identify outstanding balances from prior visits and attempt to collect any amount due. Update patient records and files. Answer telephones and direct calls to appropriate staff and departments. Provide information such as directions, visiting hours, or patient status information. Receive and route messages or documents, such as laboratory results, to appropriate staff. Transmit correspondence or medical records by mail, e‑mail, or fax. Use clear, concise, professional communication with coworkers, patients, and customers internally and externally. Use AIDET in interactions with patients and family members. Act with sense of urgency when performing tasks. Perform basic unit/department maintenance such as keeping files, drawers, cabinets free from clutter. Report any equipment or environmental issues for repair. Abide by HIPAA regulations. Escalate potential safety events if necessary. Complete and attend monthly assigned training. Float to other areas of the hospital as needed. Other duties as assigned. Behavioral Standards : Treat everyone as a customer; use scripting and tools to ensure consistency; acknowledge and show appreciation; respond quickly to requests, complaints, and questions; display a positive attitude. Demonstrate highest professionalism, passion, and care when interacting with patients, families, physicians, and staff. Apply an equity lens to all aspects of patient care, education, and research to promote inclusive policies and practices. Communication/Knowledge : Understanding of insurance policies and procedures. Preferred: bilingual in English and Spanish; proficient in speaking, reading, and writing in English and Spanish as needed. Working knowledge of medical terminology. Follow dress code, answer phone promptly, prepare for meetings, meet deadlines, avoid gossip, act ethically and with respect, establish effective relationships. Attend staff meetings; follow HIPAA guidelines, patient rights policy; comply with compliance program; demonstrate knowledge of disaster, fire, and emergency procedures; use standard precautions; manage environment of care in life safety, utilities, hazardous materials, emergency preparedness, safety management, medical equipment, and security programs. Experience : At least one year of customer service experience. Preferred: at least one year in healthcare setting. Adaptable to changing schedules and patient needs. Ability to read, write, and comprehend medical terminology. Prior experience collecting financial payments and understanding insurance a plus. Critical thinking, service excellence, interpersonal communication, instruction comprehension, organizational skills, verbal instruction following, PC skills. Capacity to learn, synthesize, make judgments independently, place patients first, and collaborate with team. Qualifications Licenses & Certifications Required AHA BLS Basic Life Supp Preferred Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Memorial Hospital of Gardena