Providence Senior Patient Access Representative - per diem/on call in Irvine, California
Providence St. Joseph Health is calling a per diem Senior Patient Access Representative to our location in Irvine, CA.
We are seeking a Senior Patient Access Representative to be responsible for but not limited to assisting patients during the registration process for scheduled and unscheduled visits. This individual has the knowledge to complete the registration process by collecting accurate demographic information, insurance information, obtain prior authorizations as needed, insurance notifications, complete the financial clearance and collect patient liability before or at the time of service. The Senior Patient Access Representative greets and serves patients in a professional, friendly, and respectful manner to promote positive encounters. The Senior Patient Access Representative should serve as a functional expert for department peers. All information is gathered while adhering to regulation and compliance requirements and guidelines and is documented timely and accurately.
The incumbent performs all duties in a manner that promotes the PJSH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organizations.
In this position you will have the following responsibilities:
Perform full duties and task of an Patient Access Representative
Act as an expert resource on Registration and Financial Clearance functions for department staff. (e.g., answer account questions, assist with new staff training, etc.)
Has a deep knowledge of insurance benefits and understands fully intricacies of third party liability and workers compensation.
Understand and implements appropriately the ministry’s policies on discounts, patients payments plans, and global services.
Identifies and makes recommendations on new approaches to enhance performance and productivity when appropriate.
Performs other duties as assigned.
Participates actively in all education opportunities provided by department manager
Analytical and problem-solving skills required
Ability to fill in as an acting supervisor as needed.
Knowledge in federal regulations including HIPAA, AB1025/1627, Fair Debt Collections Practices and Medicare guidelines
Exhibits knowledge of Managed Care Contracting, to include in network vs. out of network benefits
Knowledge on applicable rules/regulations/guidelines governing Managed Care and Government sponsored coverage and reimbursement
Advanced knowledge in medical terminology
Advance knowledge on financial clearance functions.
Required qualifications for this position include:
High School Diploma or GED.
5 years Healthcare experience within Patient Access of Business Office setting with advanced knowledge of medical terminology in job setting.
5 years knowledge in medical billing codes.
5 years knowledge in federal regulations including HIPAA, AB1025/1627, Fair Debt Collections Practices and Medicare guidelines
Preferred qualifications for this position include:
Associates Degree in Healthcare or Business Administration
1 year knowledge of Epic Application.
Demonstrated knowledge of CPT and ICD coding and medical terminology.
Basic knowledge of insurance and managed care payors, healthcare registration, Medicare Secondary Payor, EMTALA and ABN.
BLS - Basic Life Support upon hire.
Certified Healthcare Access Associate (CHAA).
Certified Revenue Cycle Specialist (CRCS).
About the department you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Schedule: On Call
Job Category: Patient Services
Req ID: 280183