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ACCESS MANAGEMENT REPRESENTATIVE - ED REGISTRATION

Company: Tri-City Medical Center
Location: Oceanside
Posted on: May 3, 2021

Job Description:

US-CA-Oceanside

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.

 

Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.

 

Position Summary:

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.

 

Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

  1. Maintains a safe, clean working environment, including unit based safety and infection control requirements.
  2. Maintains excellent interpersonal skills in dealing with co-workers, TCMC staff, patients, physicians, and the public.
  3. 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.
  4. Performs special assigned duties to meet the needs of the department.
  5. Assumes cashiering responsibilities after hours and weekends.
  6. Verifies insurance eligibility and benefits within a timeframe determined by TCMC and obtains pre-authorizations from third-party payers in accordance with payer requirements.
  7. Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.
  8. Verifies insurance eligibility, benefits, and authorization.  Notifies patient of any deposits/deductibles needed prior to registration.
  9. Obtains estimates for procedure cost upon patients request.
  10. 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.

Qualifications:

  • One (1) year healthcare insurance verification or billing or third payer authorization experience, required.
  • Requires typing skills of 35 wpm, and data entry/CRT experience. 
  • Knowledge of medical terminology preferred.

Education: 

  • 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.

 

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.

 

Keywords: Tri-City Medical Center, Oceanside , ACCESS MANAGEMENT REPRESENTATIVE - ED REGISTRATION, Other , Oceanside, California

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