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ACCESS MANAGEMENT REP/PRE-ADM

Company: Tri City Healthcare District
Location: Oceanside
Posted on: May 3, 2021

Job Description:

Job Locations: US-CA-Oceanside

Overview: 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 communitys needs.Position Summary:Interviews patient or representative to obtain necessary personal and financial information. Prepares patient record and needed demographics to pertinent departments.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.Maintains a safe, clean working environment, including unit based safety and infection control requirements.Collect, confirm and complete patient demographic, employer, financial, emergency contact, insurance, subscriber, and case-specific information, such as referring physician/PCP and diagnosis/chief complaint prior to patients scheduled arrival.Verifies with OR Department for cancellations and add-ons for next day surgery schedule. Secures all scheduled services for Inpatient Surgery, SDS, and Outpatient Ancillary from scheduling.Verifies insurance eligibility, benefits, and authorization prior to service date. Notifies patient of any financial obligations prior to admit date, and attempts to collect on the liability prior to date of service.Obtain accurate and prompt insurance eligibility by any acceptable means available. This would include insurance internet web sites, Passport/OneSource, 270/271, or by direct telephone contact. Handles customer services phone calls.Pre-admits any surgical add-ons in registration and patient accounting system, with patient notes in AffinityObtains estimates for surgery costs for patients upon request.Explains patients financial obligations. Collects cash deposits from patient by phone prior to service date whenever possible. Posts payments upon receipt.Communicate to the patient the hospitals policy on payment options when significant patient liabilities are identified exceeding $1000.00.Coordinates patient information to Express Admit nurse or Bed Placement rep for non-surgical patients who require acute care admission.Performs special assigned duties to meet the needs of the department.Maintains excellent interpersonal skills in dealing with co-workers, TCMC staff, patients, physicians, and the public.Qualifications: Requires minimum 1-year experience with TCMC as an Access Management Representative.Requires typing skills of 35 wpm.Demonstrates thorough knowledge of different third party payers and their authorization requirements.Prefer previous date entry/CRT experience and knowledge of medical terminology.Education:Requires high school graduate or equivalent.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 Healthcare District, Oceanside , ACCESS MANAGEMENT REP/PRE-ADM, Other , Oceanside, California

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