Hi-Desert Medical Center in Joshua Tree, California is recruiting an experienced Patient Access Representative III for a day-shift position on its hospital registration and revenue cycle team. This senior-level role leads shift operations across multiple Patient Access service areas — including the Emergency Department — and serves as a key collaborator with department leadership on process and operational excellence. The position offers a competitive hourly range, strong shift differential opportunities, and a comprehensive benefits package within a 30-year-established healthcare revenue cycle organization serving more than 135 regional markets nationwide.
Perks and Benefits
- Hourly pay range: $24.00 – $31.25 per hour
- Shift differentials of $1.00 – $2.50 per hour available depending on shift worked
- Observed holidays compensated at time-and-a-half; 10 paid holidays per year
- Paid time off (vacation and sick leave) — minimum 12 days per year, accruing at approximately 1.84 hours per 40 hours worked
- 401(k) retirement plan with up to 6% employer match
- Medical, dental, vision, disability, and life insurance
- Health savings accounts (HSA); healthcare and dependent flexible spending accounts (FSA)
- Employee Assistance Program and employee discount program
- Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, AD&D, and auto and home insurance
Practice Highlights
- Day-shift schedule at Hi-Desert Medical Center, Joshua Tree, CA; availability required based on departmental and system demands
- Senior-level role responsible for leading shift Patient Access Operations across a minimum of three Patient Access service areas, including the Emergency Department
- Full-cycle patient registration duties: pre-admission, admission, reception, and discharge functions at date of service
- Performs thorough analysis of Admission Discharge Transfer (ADT) data and Revenue Cycle Reports to support operational decision-making
- Manages insurance verification, benefits and eligibility checks, authorization procurement for both scheduled and unscheduled hospital services, and inpatient visit notification to payors
- Conducts medical necessity checks and verification in accordance with Centers for Medicare & Medicaid Services (CMS) standards
- Executes full patient financial counseling, liability collection escalations, and hospital cash reconciliation in compliance with financial and cash control policies
- Secures and explains all required legal and regulatory patient forms: Advance Directives, Conditions of Service, Consent for Treatment, Important Message from Medicare, and EMTALA documentation
- May assist with scheduling diagnostic or surgical procedures and conducting physician office and patient interviews
- Collaborates directly with department leaders on process improvement and operational excellence initiatives
- Works in a hospital administration environment with potential exposure to high patient volumes and acute patient care settings
Qualifications
- High School Diploma or GED required; some college coursework preferred
- 2–4 years of experience in a medical facility, health insurance, or related healthcare environment required
- 2+ years of direct Patient Access experience preferred
- Demonstrated proficiency with PC-based software systems and hospital information platforms
- Minimum typing speed of 35 words per minute
- Advanced understanding of third-party payor requirements and compliance standards preferred
- Demonstrated high achievement in patient liability collection, including use of compliant negotiation techniques
- Ability to perform essential job duties across at least three Patient Access service areas, including the ED
- Candidates must obtain and provide confirmation of all required vaccinations and screenings prior to start of employment, including COVID-19 and influenza vaccinations, as applicable and permitted by law
About the Community
Joshua Tree sits at the edge of Joshua Tree National Park in San Bernardino County, offering a distinctive high-desert lifestyle defined by dramatic landscapes, year-round outdoor recreation, and a close-knit arts and culture community. The area draws those who value wide-open spaces, low population density, and proximity to both Palm Springs (approximately 40 miles southeast) and the greater Los Angeles metro (roughly 130 miles west), providing access to major urban amenities while maintaining a quieter pace of daily life. The region's affordable cost of living relative to coastal Southern California, combined with a strong sense of community, makes it a compelling destination for healthcare professionals seeking balance between career and lifestyle.