Patient Access Representative
Stanford Hospital & Clinics - Stanford, CA

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Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

The Patient Access Services job family is responsible for completing patient admission and registration functions. Identifies patients’ insurance coverage or existing financial resources to pay for medical care and services, assist with patient inquiries regarding insurance benefits and payor specific requirements. Handles routine customer service inquiries and problems. Processes necessary admission/registration paperwork and obtains necessary documents for billing and compliance requirements.

The PAR II position is intended as an intermediate-level position for individuals with a solid background in hospital patient admitting and a working knowledge of reimbursement requirements of healthcare payors. It is expected that individuals in this level will acquire the necessary job skills, knowledge, and other qualifications through on-the-job and/or formal training in order to advance to the Patient Admitting Representative III level.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks and responsibilities required by positions in this job classification. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility entailed.
Maintains professional communication with various PAS staff, medical center staff, physicians, guests and patients regarding the admitting services rendered at Stanford Medical Center. Communication may consist of telephone correspondence or in person contact.
Provides excellent customer service to all individuals with whom the employee has contact.
Applies customer service and health care coverage experience to assist a broad range of clients, patients and families as it relates to admitting activities.
Handles patient accounting and patient admitting issues and projects of moderate scope.
Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager/Coordinator.
Performs the complete registration and admitting process from start to finish.
The specific job duties will be comprised of a combination of responsibilities from among the various areas of PAS operations including: Onsite, Ancillary, Financial Counselor, Access Unit and Emergency Department Registration.
Performs Lab Intake which includes Laboratory blood draw check in and accessioning.
Coordinates with study Coordinators coordinates to accession study blood draws and/or deliver communication on where and when samples are ready.
Performs Radiology intake which includes accessing RIS database to verify and/or release orders, schedule and track appointments.
Assures secure handling and accurate recording of payments collected at the point-of-service delivery.
Observes all applicable policy and procedures.
Performs other duties and responsibilities as assigned by the management or leads.
Job Qualifications:
Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: High School diploma or GED equivalent

Experience: Two (2) years of progressively responsible and directly related work experience.

Knowledge, Skills and Abilities:

Ability to follow oral and written instructions and interpret institutional and other policies accurately.

Ability to gather, analyze, and display data in appropriate format and keep accurate records.

Ability to maintain confidentiality of sensitive information

Ability to perform basic mathematics.

Ability to plan, prioritize and meet deadlines.

Ability to work effectively with individuals at all levels of the organization.

Knowledge of accounts receivable system like SMS, IDX, or Meditech.

Knowledge of computer systems and software used in functional area.

Knowledge of medical reimbursement policies and procedures.

Knowledge of medical terminology and insurance claim procedures common to medical billing and accounts receivable operations.

Knowledge of one or more of the following: Medicare, Medi-Cal, Worker's Comp or Managed Care (HMO,PPO,POS, etc).

Knowledge of principles and practices of customer service and telephone courtesy.

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Stanford Health Care, with multiple facilities throughout the Bay Area, is internationally renowned for leading edge and coordinated care in...