ACCESS MANAGEMENT REPRESENTATIVE - ED REGISTRATION

Job Title

Interviews patient or patients' representative to obtain necessary personal, financial, and demographic information. Prepares patient record and inputs into computer. Obtains and verifies insurance coverage. Completes and obtains signatures on required forms. Collects co-payments, deductibles, and other cash payments as needed. Balances daily payment sheets. Routes patient demographics to pertinent departments. Demonstrates extraordinary commitment to excellence by adhering to department excellence criteria.

Maintains a safe, clean working environment, including unit based safety and infection control requirements.

Maintains excellent interpersonal skills in dealing with co-workers, TCMC staff, patients, physicians, and the public.

Interviews patient or representative and enters complete information into the computer. Obtains all pertinent signatures, insurance information, and financial data to protect the hospital's financial reimbursement.

Performs special assigned duties to meet the needs of the department.

Assumes cashiering responsibilities after hours and weekends.

Verifies insurance eligibility and benefits within a timeframe determined by TCMC and obtains pre-authorizations from third-party payers in accordance with payer requirements.

Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage / eligibility information to the patient.

Verifies insurance eligibility, benefits, and authorization. Notifies patient of any deposits / deductibles needed prior to registration.

Obtains estimates for procedure cost upon patients request.

Assures that the patient is appropriate to withstand routine registration procedures; is escorted to the proper service area; and has had their questions and concerns answered.

One (1) year computer data entry experience, required.

One (1) year customer service experience working with patients or customers, required.

One (1) year healthcare insurance verification, preferred.

Knowledge of medical terminology, preferred.

High school diploma or GED, required.

Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.

• Salary / Hourly Wage range based on experience.

To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception / deferral.)

TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity / expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.