Access Management Representative - Admitting - Tri City Medical Center - Day - Full Time

Facility: STCMC Tri

City Oceanside

Department

Job Status

Regular

Shift

Day

FTE

1

Shift Start Time

Shift End Time

H.S. Diploma or Equivalent

Hours :

Shift Start Time:

7:30 AM

Shift End Time:

4 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

rotating weekends

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$25.000 - $25.150 - $29.760

This position is covered by a Collective Bargaining Agreement (CBA) with SEIU.

This position was originally posted to ratified SEIU members from 08/21/26 – 08/29/26. The position is now available to be filled by internal candidates that are not members of the ratified Bargaining Unit or External candidates to Sharp.

What You Will Do

Interviews patient or patients' representative to obtain necessary personal, financial, and demographic information.  Prepares patient record and inputs into computer.  Obtains and verifies insurance coverage.  Completes and obtains signatures on required forms. Collects co-payments, deductibles, and other cash payments as needed.  Balances daily payment sheets.  Routes patient demographics to pertinent departments.  Demonstrates extraordinary commitment to excellence by adhering to department excellence criteria.

Required Qualifications

• H.S. Diploma or Equivalent

• 1 Year computer data entry experience, required.

• 1 Year customer service experience working with patients or customers, required.

Preferred Qualifications

• 1 Year healthcare insurance verification, preferred.

Essential Functions

• The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.Maintains a safe, clean working environment, including unit based safety and infection control requirements.Maintains excellent interpersonal skills in dealing with co-workers, TCMC staff, patients, physicians, and the public.Interviews patient or representative and enters complete information into the computer. Obtains all pertinent signatures, insurance information, and financial data to protect the hospital’s financial reimbursement.Performs special assigned duties to meet the needs of the department.Assumes cashiering responsibilities after hours and weekends.Verifies insurance eligibility and benefits within a time-frame determined by TCMC and obtains pre-authorizations from third-party payers in accordance with payer requirements.Verifies medical necessity in accordance with Centers for Medicare and Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.Verifies insurance eligibility, benefits, and authorization. Notifies patient of any deposits/deductibles needed prior to registration.Obtains estimates for procedure cost upon patients request.Assures that the patient is appropriate to withstand routine registration procedures; is escorted to the proper service area; and has had their questions and concerns answered.

Knowledge, Skills, and Abilities

• Knowledge of medical terminology, preferred.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class