Patient Representative I - PD ED Admitting
Community Medical Centers - Fresno, CA

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Interviews patients in person or by phone to obtain correct demographic, guarantor, and financial information to perform a registration or admission. Determines appropriate insurance codes, financial classes, guarantors needed for billing purposes. Verify's insurance benefits through on-line verification system, insurance web-site or calls insurance company. Collects payments, insurance co-pay, and deductibles refer self pays to financial counselors. Verifies referrals and /or pre-certification requirements. Documents all information in data systems. Answers telephone inquires and maintains guest relations by providing requested information to families, hospital departments and medical staff.


MINIMUM REQUIRED: High school diploma/GED. Data entry experience. Successful completion of Medical Terminology class. Must be able to provide evidence of successful completion from a recognized institution of learning.

PREFERRED: Typing speed of 45 WPM. Associates Degree. Three years experience in a hospital setting. Knowledge of insurance billing procedures and basic collection skills including but not limited to, practices and procedures normally acquired through experience in a hospital business office. Bilingual Spanish preferred.




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