Patient Access Representative (full-time | 3:00 PM - 11:30 PM)

%3Cb%3EMinimum Education%3C/b%3E%3Cbr/%3EHigh School Diploma or GED (Required)%3Cbr/%3E%3Cbr/%3E%3Cb%3EMinimum Work Experience%3C/b%3E%3Cbr/%3E2 years Related experience (Required)%3Cbr/%3E%3Cbr/%3E%3Cb%3ERequired Skills/Knowledge%3C/b%3E%3Cbr/%3EBroad knowledge in administrative processes, customer service skills.%3Cbr/%3EComputer knowledge necessary.%3Cbr/%3EMicrosoft Office experience preferred (Word %26 Excel).%3Cbr/%3EComplete Patient Access training curriculum and pass all competency assessments.%3Cbr/%3EThe ability to type minimum of 35 words per minute required.%3Cbr/%3E%3Cbr/%3E%3Cb%3EFunctional Accountabilities%3C/b%3E%3Cbr/%3E%3Cb%3EPatient Services%3C/b%3E%3Cbr/%3E%3Cul%3E%3Cli%3EDemonstrate accuracy of scheduling patients using the applicable scheduling system for the department. Verify applicable charge codes corresponds with diagnostic codes. Enter information into billing/registration system. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EComplete computer aided, on-line registration screen with parent/guardian via telephone or in person in professional %26 courteous manner. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3ECollect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy . Complete bedside registration for ED patients. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EReschedule appointment for patients who did not show or for the ancillary services cancellations by providers/technologist. Schedule follow up appointments at check out if applicable. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EGreet patients and parents courteously. Arrive patient in appropriate system based on department policy . %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EObtain required consents for department %26 ensure distribution of compliance related materials (i.e. HIPPA Privacy Notice, Patient Rights). Obtain copy of insurance card and photo ID to be stored in medical record (copy or scan activity required). Ensure applicable insurance company and CNMC HIM department receive copies of appropriate forms/documentation. Complete all documentation in accordance with department policy and procedure. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3ERespond to patient portal work lists (i.e. appointment requests, fax queues, email requests, etc. May include messaging center work lists in the future). %3C/li%3E%3C/ul%3E%3Cb%3EInformation Verification%3C/b%3E%3Cbr/%3E%3Cul%3E%3Cli%3EVerify insurance eligibility using applicable eligibility system. Ensure managed care carve outs (lab and radiology carve outs) are adhered to. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EAdvise leadership of any authorization issues at the time of check-in. Identify surgeries/diagnostic testing without an authorizations. Contact provider’s office or scheduling coordinator to address issue timely without delaying patient care. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3ENotify parents of the need for completed insurance referral form or pre-authorization prior to scheduled/unscheduled appointments. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EDiscuss co-payment, deposits, payment in full, or past due balance collections with parents in a professional %26 courteous manner. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3ECounsel parents or refer parent to Financial Information Center (FIC) for establishing payment schedule or method of payment. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EVerify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: goal is to obtain authorizations 5 days in advance of service. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EUtilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in synch. %3C/li%3E%3C/ul%3E%3Cb%3ECash Collection%3C/b%3E%3Cbr/%3E%3Cul%3E%3Cli%3ECollect and record co-payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85% of the collection target for the department.%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EMaintain departmental requirements regarding cash controls and collections%3C/li%3E%3C/ul%3E%3Cb%3EBilling Preparation%3C/b%3E%3Cbr/%3E%3Cul%3E%3Cli%3EFor ancillary services ensure all applicable orders/scripts/referrals are obtained prior to services being rendered. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EAppropriately clear all walk-in and ensure scheduled/unscheduled appointments are linked to scheduling system. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EResponsible to ensure daily quality review of all registration processed real-time. %3C/li%3E%3C/ul%3E%3Cb%3EOffice Support%3C/b%3E%3Cbr/%3E%3Cul%3E%3Cli%3EAnswer telephone and address caller needs appropriately. Avoid transferring calls for better service to families. Meet department standards relative to ACD policies if applicable. Manage voice mail messages within same business day . %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EDistribute mail. May work returned mail as needed. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EAll staff are responsible for information distributed via e-mail. Staff should check work email a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day). %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EMaintain office files and office supplies at P AR levels. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EMaintain clean reception area and work space. %3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EOther support as needed. %3C/li%3E%3C/ul%3E%3Cbr/%3E%3Cb%3EOrganizational Accountabilities%3C/b%3E%3Cbr/%3E%3Cb%3EOrganizational Accountabilities (Staff)%3Cbr/%3EOrganizational Commitment/Identification %3C/b%3E %3Cul%3E%3Cli%3EAnticipate and responds to customer needs; follows up until needs are met%3C/li%3E%3C/ul%3E%3Cbr/%3ETeamwork/Communication %3Cul%3E%3Cli%3EDemonstrate collaborative and respectful behavior%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EPartner with all team members to achieve goals%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EReceptive to others’ ideas and opinions%3C/li%3E%3C/ul%3E%3Cbr/%3EPerformance Improvement/Problem-solving %3Cul%3E%3Cli%3EContribute to a positive work environment%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EDemonstrate flexibility and willingness to change%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EIdentify opportunities to improve clinical and administrative processes%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EMake appropriate decisions, using sound judgment%3C/li%3E%3C/ul%3E%3Cbr/%3ECost Management/Financial Responsibility %3Cul%3E%3Cli%3EUse resources efficiently%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3ESearch for less costly ways of doing things%3C/li%3E%3C/ul%3E%3Cbr/%3ESafety %3Cul%3E%3Cli%3ESpeak up when team members appear to exhibit unsafe behavior or performance%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EContinuously validate and verify information needed for decision making or documentation%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EStop in the face of uncertainty and takes time to resolve the situation%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EDemonstrate accurate, clear and timely verbal and written communication%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EActively promote safety for patients, families, visitors and co-workers%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3EAttend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance%3C/li%3E%3C/ul%3E

Pediatric health system providing specialized medical care and research.