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Patient Access Representative - Admitting CCMC

Requisition ID
2025-46022
Category
Administrative Clinical Support
Shift Type
Full-Time
Shift
8 Hour
Shift Schedule
Varies
Facility
Clovis Community Medical Center (CCMC)
Location
US-CA-Clovis
Posted Date
7/10/2025
Min
USD $21.63/Hr.
Max
USD $28.12/Hr.

Overview

*All positions are located in Fresno/Clovis CA*

 

At Community Medical Centers, we are motivated by the central purpose of our mission: “to improve the health status of the community”. We are dedicated to being ready for the worst so that those we serve can experience their best. As a Patient Access Representative with the largest private employer in the Central Valley, you will actively feel and see how your role is key to improving the quality of life for those we serve.

 

Community Regional Medical Center (CRMC) is the flagship hospital of Community Medical Centers – a not-for-profit healthcare system based in Fresno, California, and the largest healthcare provider and private employer in central California. We measure up with top hospitals nationally and are the 3rd largest in California. CRMC encompasses several additional campuses totaling 909 beds to offer the most comprehensive care to our region which includes; the Fresno Heart and Surgical Hospital, a behavioral health center, a subacute and transitional care center, a cancer center, and home health services.

 

CRMC is home to the only Level 1 Trauma Center and has the only comprehensive burn care in the Valley serving 2.5 million people within 9 counties. The 56,000 square-foot emergency department is one of the largest and busiest in the state. We have an 84 bed Level 3 NICU and a brand new pediatric specialty care unit.

 

We are affiliated with one of the top medical schools in the nation - University of California San Francisco Medical School that offers our employees to work with some of the brightest physicians and medical specialists in the nation.

 

Your Admitting Career at Community | Opportunity. Challenge. Growth.

Responsibilities

1. Promptly fields and responds to inquiries providing information to 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. Obtains all appropriate signatures, COA, HIPAA, etc.
7. Scans photo ID, insurance cards, COA, HIPAA, financial documents, etc. into hospital information system.
8. 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.
9. Holds sufficient understanding of insurance protocols for co-payments, deductibles, allowances, etc. and analyzes information received to determine patients’ out-of-pocket liabilities.
10. Sufficient knowledge of CMC's contracted vs. non-contracted insurance payors.
11. Performs estimates through hospital information system and informs patient of their financial responsibilities.
12. Collects upfront payments toward patient’s financial responsibilities. Handles daily deposits and balances cash drawers.
13. Ensures that all information is complete and accurately entered in the health information system.
14. Performs other job-related duties as assigned.
 
Knowledge, Skills, and Abilities
 
• Standard clerical and customer services practices. 
• Proven knowledge of Medical Terminology obtained from previous work experience or class. 
• Basic 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. 
• Proficient with MS Office applications (Excel, Word). 
• Sufficient knowledge of third-party payors 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
• 1 year of medical office/hospital experience required or
• Successful completion of Medical Terminology class (must be able to provide evidence from a recognized institution of learning) required
• Admitting, registration, billing, cash collections, and/or third party/insurance payors experience preferred
 
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 Center's 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.

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