Patient Access Rep I - LT Admitting
Torrance Memorial Medical Center · Torrance, California, US
Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to...
Job description
Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided. Core Competencies: - Collects all required data elements to complete the intake process within the hospital revenue cycle system. - Utilizes hospital bed board/patient tracking system to track and arrange proper placement of patient on nursing units. - Maintains basic working knowledge of all sponsored programs such as Medicare, Medi-Cal, Tricare and all other payers; as well as contracted insurance payers and authorization requirements. - Maintains proficient working knowledge of Medicare Secondary Payor Questionnaire policy and procedures. - Validates patient eligibility, benefits, and medical group affiliation as well as obtaining insurance verification and notification as needed. Validation may be performed via the telephone, payer website, or hospital registration application. - Demonstrates basic working knowledge of all department/regulatory generated documents and is able to explain their meaning to patients and obtains appropriate initials/signatures. - Bands patie...