Patient Access Specialist - Admitting-ED CCMC

Community Health System

Posted on : 22-06-2025

Employer Active

1 Vacancy

Job Alert

You will be updated with latest job alerts via email

Valid email field required

Send jobs

Send me jobs like this

Job Alert

You will be updated with latest job alerts via email

Valid email field required

Send jobs

Job Location

Clovis - USA

Monthly Salary

Not Disclosed

Salary Not Disclosed

Vacancy

1 Vacancy

Posted on : 22-06-2025

Job Description

Overview

*All positions are located in Fresno/Clovis CA*

The perfect blend of exceptional care and comfortable accommodations Clovis Community Medical Center remains a top choice for womens services labor and delivery advanced minimally invasive surgeries sports medicine and weight-loss surgery. Home to the Marjorie E. Radin Breast Care Center Californias premier breast care center we offer screening diagnostics and treatments using the most cutting-edge technology available. Were a family-oriented suburban hospital at the base of the Sierra Nevada Mountains thats part of the Community Medical Centers healthcare network. Expanded in 2012 Clovis Community has 208 all-private rooms - making Clovis Community the only comprehensive hospital in the area with all-private rooms.

Whether for inpatient or outpatient care were here to provide the best possible experience and the highest quality care for the people we serve. That means we are able to offer a variety of ways for you to grow - both in the way you do your job as a healthcare professional and in the way you live your personal life. If you share our passion for providing the best possible care for each and every patient you should consider a career with our team at Clovis Community Medical Center.

Responsibilities

Provides intermediary customer service coverage registration and admitting in any point of service specialist areas and is responsible for patient information and insurance intake. Assigned intermediary duties include but not limited to: appointment scheduling registrations direct admissions insurance verifications authorization notifications multi-line telephone coverage data entry filing protected health information (PHI) referrals/physician orders collections and financial estimates while maintaining quality patient/customer relations.

This is the second of three job levels that provide customer service registration and/or admissions to an assigned point of service area. The different levels of this job family are distinguished by the skills and experience required to perform the accountabilities the complexity of problems solved as part of the job and the assigned level of responsibility.

Accountabilities

1. Promptly fields and responds to inquiries providing information to patients patient families other hospital departments and medical staff according to established policies for CMC.

2. Answers telephone in a courteous and professional manner.

3. Provides proficient customer service skills by greeting and treating all patients and staff with respect and discretion.

4. Gathers and/or verifies all appropriate patient demographics injury information and financial information including: insurance benefits co-pays deductibles and financial programs.

5. Identifies and armbands patients correctly.

6. Performs Admissions Direct Admissions and bedside registrations for procedures and treatments.

7. Obtains all appropriate signatures: COA HIPAA etc.

8. Scans photo ID insurance cards COA HIPAA financial documents etc. into hospital information system.

9. Establishes payment source through online verification system insurance website or phone call to insurance company. Determines appropriate insurance plan financial class and insurance guarantors required for billing.

10. Notifies insurances within their specified time frames for authorizations.

11. Holds sufficient understanding of insurance protocols for co-payments deductibles allowances etc. Analyzes information received to determine patients out-of-pocket liabilities.

12. Sufficient knowledge of CMCs contracted vs. non-contracted insurance payors.

13. Performs estimates through hospital information system and informs patient of their financial responsibilities.

14. Collects upfront payments toward patients financial responsibilities. Handles daily deposits and balance cash drawers.

15. Ensures that all information is complete and accurately entered into the health information system.

16. Knowledge of federal state and local agencies requirements in order to meet regulatory compliance for documents as well as refer patients appropriately.

17. Performs other job-related duties as assigned.

Knowledge Skills and Abilities

Advanced clerical and customer service standards.

Standard knowledge of current policies and procedures and regulatory compliance.

Proven knowledge of Medical Terminology obtained from previous work experience or class.

Advanced skills in data entry.

Correct English usage in spelling grammar punctuation and vocabulary.

Read and comprehend office or program instruction manuals and reports.

Compose and use proper formats for a variety of correspondence reports instructions and other documents.

Proficient customer service skills with the ability to deliver friendly and efficient customer service to all patients visitors and staff.

Ability to multi-task and use critical thinking skills for problem solving in a high demanding environment.

Proficient with MS Office applications (e.g. Excel Word etc.).

Sufficient knowledge of third party payers including: federal state and private health plans.

Qualifications

Education

High School Diploma High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required

Experience

2 years of experience as a Patient Access Representative and/or previous work experience in a related field required

Other Qualifications / Notes

Special Conditions

Must be able to work various hours days shifts on-call and various locations based on the 24-hour Medical Centers business needs.

Disclaimers

Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.

Required Experience:

Unclear Seniority

Employment Type

Unclear

Company Industry

Key Skills

Apply Now

About Company

Community Health System

Report This Job

Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.

Start Now

Dr.Job AutoApply

3X your job search with AutoApply's AI for faster dream job results.

Patient Access Specialist - Admitting-ED CCMC

Community Health System

Job Description

Overview

Responsibilities

Qualifications

Disclaimers

Employment Type

Company Industry

Key Skills

About Company

Similar Jobs

Sustainability Specialist

Community Specialist

Client Experience Specialist - Orland Park

ð¨ NOW HIRING: Licensed Insurance Agent â Mentorship Track to Become an Infinite Banking Specialist ð¨

ð¨ NOW HIRING: Licensed Insurance Agent â Mentorship Track to Become an Infinite Banking Specialist ð¨

Customer Support Specialist (Remote PH) -

Video Editor & Post-Production Specialist - 13782

Pricing Specialist