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Access Management Representative - ED Registration

MLee Medical Employment

Wildomar, CA

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JOB DETAILS
SKILLS
Balance Sheet, Centers for Medicare and Medicaid Services (CMS), Co-Payments, Computer Systems, Cost Estimates, Customer Support/Service, Data Entry, Data Quality, Demographics, Health Insurance, Healthcare, Infection Control, Information Technology & Information Systems, Interpersonal Skills, Interviewing Skills, Medical Records, Medical Terminology, Patient Assessment, Reimbursement, Safety/Work Safety, Third-Party Payer
LOCATION
Wildomar, CA
POSTED
6 days ago
Position Overview

This role involves interviewing patients or their representatives to gather essential personal, financial, and demographic details. You will prepare patient records and enter information into computer systems, verify insurance coverage, and ensure all necessary formsare completed and signed. Collecting co-payments, deductibles, and other payments accurately is a key responsibility, along with balancing daily payment sheets and routing patient demographics to relevant departments. A strong commitment to excellence and adherence to departmental standards is essential.

Key Responsibilities
  • Maintain a safe and clean work environment, including compliance with unit-based safety and infection control protocols.
  • Exhibit excellent interpersonal skills when interacting with coworkers, staff, patients, physicians, and the public.
  • Conduct thorough interviews with patients or their representatives, ensuring complete and accurate data entry, including signatures and financial information to safeguard reimbursement.
  • Perform special duties as assigned to support departmental needs.
  • Assume cashiering duties during after-hours and weekends as required.
  • Verify insurance eligibility and benefits promptly, obtaining necessary pre-authorizations from third-party payers in line with their requirements.
  • Confirm medical necessity according to Centers for Medicare & Medicaid Services (CMS) standards and communicate relevant coverage information to patients.
  • Notify patients of any deposits or deductibles required prior to registration and provide cost estimates upon request.
  • Ensure patients are prepared for routine registration procedures, escorting them to appropriate service areas and addressing their questions and concerns.
Qualifications
  • Minimum of one year of computer data entry experience.
  • At least one year of customer service experience working with patients or customers.
  • Preferred: One year of healthcare insurance verification experience.
  • Preferred: Knowledge of medical terminology.
Education
  • High school diploma or GED required.

All candidates must successfully pass a physical evaluation, urine drug screen, and pre-employment background checks prior to starting work.

This position is located in a regional healthcare setting within the Pacific Southwest region of the United States.

About the Company

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MLee Medical Employment

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