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Patient Registration

Access Rep I or II - Part Time - 1/22/19

Access Rep I:    Rate of Pay $18.83 / Hour + DOE       Bargaining Unit:  Non Licensed  

SUMMARY:  Interviews incoming patient or representative and enters information required for admission into computer, operates cordless switchboard to relay incoming, outgoing, and interoffice calls. Must be available to work at both TFH and IVCH.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following:

Collects demographic and insurance information.

Identifies uninsured or underinsured and refers these patients to the Financial Counselor.

Explains hospital regulations such as visiting hours and payment of accounts.

Visits patient rooms to update information and complete admissions demographics.

Obtains signed Conditions of Admissions and Guide to Financial Billing from patient to protect hospital’s interests.

Compiles data for occupancy and census records.

Stores patient’s valuables.  Responds to emergency calls and pages emergency announcements.

Supplies information to callers.  Performs clerical duties such as typing.

Operates paging systems to call individuals in establishment to phone.

Receives visitors, obtains name and nature of business, and provides information and direction.

Collects co-pays, co-insurance  and deductibles.

Determines if an authorization for a procedure is required and confirms that this has been accomplished.

Maintains effective communication with hospital staff and patient/patient's family.

Has thorough knowledge of ER, In-patient and Outpatient registrations.

Maintains and updates knowledge regarding all types of insurance and healthcare coverage.

Ability to work standby.

Demonstrates System Values in performance and behavior.  Complies with System policies and procedures.

Other duties as may be assigned.

EDUCATION AND EXPERIENCE:  High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

LICENSES, CERTIFICATIONS:  Required: CPR certification within six months of employment for those employees assigned to work at IVCH.

Access Rep II:    Rate of Pay $20.78 / Hour + DOE       Bargaining Unit:  Non Licensed

SUMMARY:  Registers patients in a pleasant, professional and timely manner ensuring all necessary demographic and financial data is obtained and accurately entered into the hospital computer system. Identifies appropriate payor sources, running eligibility and providing all regulatory documents.  Gathers essential data for assigned Key Performance Indicators and reports findings, trends and recommendations. Performs Pre-Authorization verifications as assigned.  In addition to duties expected of a Patient Access Representative I, Access Representative II demonstrates proficiency through participation in additional assigned duties.

HOURS AND PLACE OF WORK:  Required to be available for standby.  Scheduled to work in Truckee and IVCH facilities as needed.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following:

Interviews patient or representative courteously to obtain and record required information.

Enters required data into the hospital computer system with emphasis on accuracy of demographic data and financial nformation.

Validates existing data related to prior registrations by asking patient to repeat all data and updating appropriately in the hospital computer system.

Maintains and updates knowledge regarding all types of insurance and healthcare coverage, utilizing reference materials provided, when necessary.

Collects insurance information. Refers all private pay and underinsured patients to the Financial Counselor, or in the Financial Counselor’s absence, discusses payment options according to the hospital’s collection policy.

Prepares paperwork for billing/surgery folders.

Advises patient of hospital policies on collection of co-pays and deductibles prior to service.

Contacts the insurance carrier on special procedures and radiology to confirm insurance coverage and benefits. Determines if an authorization for a procedure is required and confirms that this has been accomplished.

Checks the next day's surgeries to verify that paperwork is completed.

Completes pre-certifications within the specified time frames.

Obtains authorizations for treatment in accordance with payor’s payment authorization protocols.

Documents financial activity.

Copies or scans all necessary insurance information, including insurance cards, personal identification, driver’s license, physician order etc.

Informs patients of and has signed Conditions of Admission, Advance Directives, Notice of Privacy Practices, Guide to Financial Billing.

Provides patients admitted to the hospital with the Patient Rights and Medicare patients with the Important Message from Medicare notice.

Creates armbands, labels and other documentation as necessary.

Obtains accident information when applicable.

Performs cashier functions for all patients who present cash, check or credit card as payment for services.

Identifies all MediCal and Medicare patients through the appropriate electronic eligibility system and through completion of the MSP Questionnaire.

Contacts admitting nurse or nursing supervisor for appropriate bed assignment for incoming patients.

Distributes face sheets and labels.  Confirms patient authorizations & financial responsibility.

Confirms medical necessity of ordered procedure(s).

Completes pre registration in Hospital Information System (s).

Obtains updated information and completes admissions demographics at the patient bedside as necessary.

Compiles data for occupancy and census records.  Stores patient’s valuables.

Responds to emergency calls and pages emergency announcements.

Supplies information to callers insuring HIPAA compliance

Operates paging systems to call individuals in establishment to phone.

Assists with Concierge Desk coverage as necessary, and manages the flow of patients in the lobby.

Receives visitors, obtains name and nature of business, and provides information and direction.

Assists in staff scheduling.  Gathers information for Key Performance Indicators and reports as requested.

Participates in testing of new systems, system changes, processes, etc.

Participates in validation of staff competencies. Facilitate training staff for staff

Conducts new employee orientation and training following training plan.

Participates in system super user training and is identified as a department Super User.

Demonstrates System Values in performance and behavior.  Complies with System policies and procedures.

Other duties as may be assigned.

EDUCATION AND EXPERIENCE:  High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

LICENSES, CERTIFICATIONS:  Required: CPR certification within six months of employment for those employees assigned to work at IVCH. Certification as an Access Representative.