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Patient Access Representative

Pioneers Medical Center

This is a Contract position in Las Vegas, NV posted August 1, 2022.

Job DescriptionPatient Access Representative Reports to: Patient Financial Services Supervisor Revenue CycleFLSA Classification: Full Time, Non-Exempt, Hourly.Compensation: 14.00
– 16.00 Depending on ExperienceA.

SUMMARY:This position is under the direct supervision of the Revenue Cycle Director and will be responsible for registration of hospital patients.

This position will cross-train for general office duties, clinic registration, emergency department registration, posting of accounts receivable, patient account review, and followup.


ESSENTIAL JOB DUTIES:Performs hospital and surgery registrations.

Obtains and/or verifies accurate demographic and insurance information, providing patient with proper paperwork and ID band.

May also perform clinic registrations.Provides estimates of services and collects deductibles, coinsurance, or copays as indicated.May enter surgery and/or emergency department charges as directed.

Maintains surgery information on spreadsheet in shared drive.

May perform charge overview for completeness of department charges as directed.Reviews and explains account information with patients, if necessary.

Documents appropriate information on accounts on which action has taken place.

Receives and receipts payments made in person, may set up family billing and payment plans or refer to Financial Assistance counselor as needed.

Accurately posts payments to patient accounts.

May assist in processing bank checks via electronic processing; verifies bank has received deposit.Maintains petty cash fund; reconciles daily.Assigns and enters new physician and insurance information in computer system.

Receives and routes phone calls to various departments and personnel as needed.Will be required to assist at clinic and emergency department registration areas.

Prepares documentation for collection agency.May be required to assist in preparation of Medicare Bad Debt information.Prepares documents for shipping to scanning company.

Maintains up-to-date guidelines to ensure responsibilities of the essential job functions are adequately outlined for training purposes.

Manuals are to be easily identified and readily available.Participates in educational activities, staff meetings, and in-services as required Provides excellent customer service at all times and projects a positive image of the hospital through interaction with the public, patients, vendors, and co-workers by acting in a professional manner at all times.

Makes suggestions and helps effect continuous quality improvement in all department processes.Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.Conducts self in accordance with PMCs employee manual.Performs other duties as assigned.


MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:High school diploma or equivalent; medical terminology desired.Membership in the American Association of Healthcare Administrative Management (AAHAM) is strongly encouraged as well as obtaining the Certified Revenue Cycle Specialist (CRCS) designation.Knowledge of medical billing practices, including ICD-10, CPT, and HCPCS codes, desired but not required.Knowledge of office operations, data entry, filing.Must be well organized, detail oriented with ability to multi-task.Must be able to effectively use various resources to resolve issues involved with job duties.

Must be proficient in computer usage and various computer applications.

Ability to communicate effectively both orally and in writing with employees and the general public.

This includes writing professional business letters as well as emails.

Ability to conduct daily duties in a professional appearance and manner.Skill, and ability, in answering a multi-line telephone system in a pleasant and helpful manner.Ability to read, understand, and follow oral and written instructions.

Ability to establish and maintain effective working relationships with patients, employees, and the public.Adheres to the standards and policies of the corporate compliance program, including the duty to comply with applicable laws and regulations, and reports to a designated manager (or compliance hotline) any suspected unethical, fraudulent, or unlawful acts or practices.


MANDATORY EDUCATION AND CERTIFICATIONRevenue Cycle courses and/or Medicare learning modules as assigned.Certification as a Revenue Cycle Specialist through American Association of Healthcare Administrative Management (AAHAM) is desired within the 2 -year period following the 90-day probation period.


WORK ENVIRONMENTNormal work environment with little exposure to excessive noise, dust, and changes in temperature.

Description of physical demands is under separate cover.Minimal hours on Saturday working at the clinic registration desk, minimum of once per month, will be required.

Occasional overtime may be required.