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

Hours:

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On-Call Required:

Hourly Pay Range (Minimum - Midpoint - Maximum):

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 representative to obtain necessary personal and financial information. Prepares patient record and needed demographics to pertinent departments.

Required Qualifications

• H.S. Diploma or Equivalent
• 1 Year healthcare insurance verification or billing or third payer authorization experience.

Preferred Qualifications

• Prefer previous data entry/CRT experience and knowledge of medical terminology.

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.
  1. Maintains a safe, clean working environment, including unit based safety and infection control requirements.
  2. Collect, confirm and complete patient demographic, employer, financial, emergency contact, insurance, subscriber, and case-specific information, such as referring physician/PCP and diagnosis/chief complaint prior to patient’s scheduled arrival.
  3. Verifies with OR Department for cancellations and add-ons for next day surgery schedule. Secures all scheduled services for Inpatient Surgery, SDS, and Outpatient Ancillary from scheduling.
  4. Verifies insurance eligibility, benefits, and authorization prior to service date. Notifies patient of any financial obligations prior to admit date, and attempts to collect on the liability prior to date of service.
  5. Obtain accurate and prompt insurance eligibility by any acceptable means available. This would include insurance internet web sites, Passport/OneSource, 270/271, or by direct telephone contact. Handles customer services phone calls.
  6. Pre-admits any surgical add-ons in registration and patient accounting system, with patient notes in system.
  7. Obtains estimates for surgery costs for patients upon request.
  8. Explains patient’s financial obligations. Collects cash deposits from patient by phone prior to service date whenever possible. Posts payments upon receipt.
  9. Communicate to the patient the hospital’s policy on payment options when significant patient liabilities are identified exceeding $1000.00.
  10. Coordinates patient information to Express Admit nurse or Bed Placement rep for non-surgical patients who require acute care admission.
  11. Performs special assigned duties to meet the needs of the department.
  12. Maintains excellent interpersonal skills in dealing with co-workers, TCMC staff, patients, physicians, and the public.

Knowledge, Skills, and Abilities

• Requires typing skills of 35 wpm.
• Demonstrates thorough knowledge of different third party payers and their authorization requirements.

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