Patient Access Services Representative I/II - Health Benefit Advisor/Patient Financial Counseling Dept. - Bilingual (English/Spanish) Preferred jobs in United States
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Kern Medical · 3 weeks ago

Patient Access Services Representative I/II - Health Benefit Advisor/Patient Financial Counseling Dept. - Bilingual (English/Spanish) Preferred

Kern Medical is an acute care teaching center that has served the community since 1867. They are seeking a Patient Access Services Representative to perform patient access, registration, and financial counseling activities, ensuring patients are informed of their payment options and assisting with insurance verifications.

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H1B Sponsor Likelynote

Responsibilities

Greets patients, reviews process, and schedules appointments for exam or follow-up
Assembles all data and documents required for complete patient registration, including, but not limited to pre-admission, admission, pre-registration, and registration functions; completes all insurance verifications and authorizations
Enters all patient demographic information into the hospital’s EHR (Electronic Health Record) system; uses other department applications for eligibility and authorization
Assesses patient financial responsibility and collects co-pays, co-insurance, out of pocket, share of cost and/or deductibles at time of admission
Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered
Interviews patients at the workstation and/or at the bedside to determine possible eligibility for state-funded programs
Obtains and documents funding information from patients and provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned
Uses payer resources and websites to explore and assess eligibility; initiates referrals for Medi-Cal, CMS, CCS, and KMCHP; administers KMC Financial Assistance Policy and Procedures to determine patient eligibility for discounted prices or charity care
Works in collaboration with all areas of the revenue cycle to identify and resolve issues and/or barriers
Enters a variety of fiscally related information into databases; maintains fiscal records and files
Submits and responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems
Performs other related duties as assigned

Qualification

Patient access experienceInsurance programsEHR system proficiencyBilingual (English/Spanish)Customer service skillsCommunication skillsProblem-solving skillsOrganizational skills

Required

High School diploma or GED and six (6) months of patient access experience OR an equivalent combination of education, training, or experience sufficient to successfully perform the essential duties of the job
High School diploma or GED and one (1) year of patient access experience OR an equivalent combination of education, training, or experience sufficient to successfully perform the essential duties of the job
Employees must maintain all health requirements designated by Kern Medical
Knowledge of state and federal government funding programs such as Medicare, Medi-Cal, CCS, TRICARE/CHAMPUS, Workers' Compensation; and commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical and insurance terminology; HIPAA privacy and compliance practices
Ability to communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources, including patients and families; use computers and various software to accomplish work; establish and maintain effective working relationships with patients, families, and other internal and external customers; use tact and empathy in working with patients and families under stressful situations; perform work effectively with frequent interruptions; perform multiple tasks in a fast paced environment; lift, carry, push or pull files; sit at work station for prolonged periods of time; and report to various departments throughout the hospital
Possession of a current valid California Driver's License and adherence to the Kern County Hospital Authority Vehicle Use and Driving Standard Policy (ENG-EC-119) if position responsibilities require driving a personal vehicle
Possession of a current valid California Driver's license, a signed authorization for Release of Drivers Record Information and adherence to the Kern County Hospital Authority Vehicle Use and Driving Standard Policy (ENG-EC-119) if position responsibilities require driving a vehicle owned, leased or rented by Kern Medical

Preferred

Bilingual (English/Spanish) Preferred

Benefits

New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan.
Shift Differential Pay: varies per classification.
A Comprehensive Benefits Package: includes Holidays, Paid Time Off, Retirement, Medical, Dental, Vision and Life Insurance.

Company

Kern Medical

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Kern Medical delivers quality care that improves the health and well-being of the community as well as provides medical training programs.

H1B Sponsorship

Kern Medical has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (3)
2023 (5)
2022 (4)
2021 (2)
2020 (5)

Funding

Current Stage
Late Stage

Leadership Team

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Scott Thygerson
Chief Executive Officer
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Craig Witmer
Chief Technology Officer
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Company data provided by crunchbase