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Patient Access Representative

US Navy and US Marine Corps Reserve Center, California

Req ID 303126 Post Date May. 09, 2025 CategoryRevenue Cycle Management
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Patient Access Specialist

Full Time

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state-of-the-art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services. 

Where We Are:

The City of Somerset blends southern hospitality with abundant recreational opportunities including a 65,000-acre lake with 1,200 miles of shoreline.  Somerset is host to nationally recognized, high quality performing and visual arts, concerts and other special events to the community.

Why Choose Us:

  • Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
  • Competitive Paid Time Off / Extended Illness Bank package for full-time employees
  • Employee Assistance Program – mental, physical, and financial wellness assistance
  • Tuition Reimbursement/Assistance for qualified applicants
  • Professional Development and Growth Opportunities
  • And much more…

Position Summary: 

Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. Interviews patients for all pertinent account information and verifies insurance coverage.

Minimum Qualifications:

High school diploma or equivalent Required or 3 years of directly related experience may be substituted for the required education. Billing or collection experience preferred. Computer experience required.

Required Skills:
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.
Knowledge of medical terminology strongly preferred.
Ability to operate standard office equipment, including but not limited to, computer, printer, copier, fax, calculator.
Time management and organizational skills.

Essential Functions:
Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy, assigning medical record number if appropriate.
Distributes and explains forms, documents, and educational handouts to patients or family members, ensures all necessary signatures are obtained for treatment.
Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.
Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.
Researches the patients visit history to ensure compliance with third party payer requirements, completing appropriate documentation as applicable.
Collects co-pays and other funds from patients based upon established criteria.
Non-Essential Functions
Checks supplies and stocks supplies as needed.
Serves as back-up for other functional areas.

EEO Statement:

Lake Cumberland Regional Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

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