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Patient Access Representative

Company: Shriners Childrens Hospital
Location: Pasadena
Posted on: November 17, 2022

Job Description:

Company Overview

Shriners Children's is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families.

Job Overview

Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center. We have an opening for a Patient Access Representative to join our team.


The Patient Access Representative verifies the eligibility and availability of a patient's insurance status with insurance companiesto ensure proper coverage and payment for services. Working with other members of the team, this role will also coordinate thepatient scheduling, insurance pre-certification and authorizations. Duties also include completion of pre-registration processesand providing patients with information regarding access to additional external financial resources when appropriate. Thisposition will provide assistance with patient registration when required.

Patient Access: scheduling and registrationProcesses appointment requests for all types of outpatient appointments for new and established patients.Completes pre-registration to verify patient demographics are correct.Obtains patient consents as required and documents in appropriate fields.Responsible for correctly identifying authorization requirements and addressing appropriate fields in patientaccounts.Accurately performs registration while adhering to registration policies.

Patient Access: insurance verificationCompletes timely and accurate verification of insurance prior to patient arrival for services, duringhospitalization and after discharge to meet patient needs.Obtains, records and scans patient insurance information into electronic scheduler. Ensures insuranceinformation recorded matches the insurance card.Accurately documents insurance related information in appropriate fields.

Patient Access: financial counselingIdentifies uninsured patients to perform financial counseling.Provides patients with financial counseling in order to optimize access to appropriate external resources.Assist with completing applications for external resources.Educates patients and families regarding co-pays/deductibles and first party pay requirements.

* Builds collaborative relationships with leadership, medical staff, peers, and hospital staff.Actively supports all department and hospital policies.Actively supports patient safety initiatives. Responds and acts on safety recommendations



High School diploma required


1 year experience in scheduling and registration required

Keywords: Shriners Childrens Hospital, Pasadena , Patient Access Representative, Other , Pasadena, California

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