Acute Patient Access Services Representative

Primary City/State:

Susanville, California

Department Name:

Patient Accounting-Hosp

Work Shift:

Varied

Job Category:

Revenue Cycle

Primary Location Salary Range:

$22.74 - $31.51 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

Schedule: 40 hours (Days and times TBD)

Enjoy a flat rate $1/hour weekend shift differential and an 18%-night shift differential when applicable.

Find your path in health care. Operating a hospital is more than IV bags and trauma rooms. One might be surprised by the number of people who work behind the scenes and play a critical role in ensuring the best care for our patients.  Apply today. 

Susanville is nestled within the Sierra Nevada Mountains. Enjoy four seasons with a host of year-round recreational opportunities. Explore the 2,700 square miles of public lands, with hiking, biking, cross country skiing, horseback riding, hunting, camping and off-road recreation activities.

Located in Susanville in northeast California, Banner Lassen Medical Center offers comprehensive care in a state-of-the-art facility to aid in the prevention, diagnosis, and treatment of illnesses. Our 25-bed medical center has a proud history of providing vital caring to the community since 1883. Though we are a small community hospital, we have invested in the latest medical equipment, including a 124-slice CT scanner, nuclear medicine, MRI, ultrasound, bone density and mammography. The hospital also offers infusion, respiratory therapy and cardiopulmonary services as well as laboratory services, inpatient and outpatient surgery and a 24-hour emergency department. Away from work, you'll find that our location at the foot of the scenic Sierra Nevada Mountains offers an unlimited variety of recreational activities, including fishing, camping, golfing, hiking and skiing.

POSITION SUMMARY

This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability. Demonstrates the ability to resolve customer issues and provides excellent customer service.

CORE FUNCTIONS

1. Verifies patient’s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).

2. Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.

3. Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.

4. Demonstrates proficient understanding that this position creates the first impression for our patient's experience with Banner Health. Demonstrates a positive patient experience through interactions and effective communication.

5. Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meets all registration related key performance indicators as determined by management.

6. Obtains federal/state compliance information, consents and documentation required by the patient’s insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.

7. Consistently discusses financial liability with the patient(s) and/or families that includes: collection in full of patient liability, assisting patient in applying for Banner Line of Credit, setting up payment plans and/or assisting patient with Banner Financial Assistance policy/application.

8. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, training new hire employees, recapping daily deposits, posting daily deposits, or conducting other work assignments of the Patient Access Services team.

9. Works independently under regular supervision and follows structured work routines. Works in a high-volume,