Works under the supervision of the Patient Access Supervisor or Administrative Director, Revenue Cycle. Performs detailed and accurate registration of all patients. Displays a broad understanding of third-party reimbursement issues. Assists ancillary departments with room assignment and transporting of patients. Performs other duties as assigned.
PRIMARY JOB DUTIES
Greets and interviews incoming patients/relatives to obtain accurate demographic and insurance information.
Keys patient demographic/billing information into computer. Obtains patient or responsible party’s signature on consents. Creates face sheets, armbands, labels and other documents as necessary.
Communicates to patients the details of consents, filing of insurance, and payment of hospital services. Assists patients in understanding hospital billing and collection of payment.
Collects and scans insurance cards or completed insurance forms from patients. Obtains necessary signatures on consent form for treatment according to hospital policies and procedures.
Obtains payment/co-payments and deposits from patients as appropriate or refers patient to Patient Accounting to make standard payment arrangements.
Interprets Physician Orders to incorporate up to 9 Service Types and over 31 Service Locations while identifying qualifying requirements for each.
Interprets Physician Orders to implement correct accommodation codes directly affecting patients charges and appropriate billing for services.
Provides and incorporates accurate patient status changes directly related to ensuring patient activity/services reflect all Physician/Provider Order Entries.
Incorporates QAS Address Verification System into each registration to confirm address legitimacy with US Postal Service.
Incorporates NThrive Insurance Eligibility Product to validate insurance coverage with each registration.
Initiates, audits and supports Medicare Secondary Payer Questionnaire for all Medicare registrations to ensure compliance and requirements of reimbursement.
Provides 24/7 Answering Service support to Community Physicians.
Performs next day audits on all registrations, including ancillary registration areas, to ensure accuracy in registrations, promote positive reimbursement results and reduce overall AR days.
Distributes registration records each day to appropriate departments and Referring Physicians.
Cross trains in at least two of the four areas of Patient Access (Outpatient Registration, ER, PBX, and/or Pre-Admissions)
Contributes to required on-call obligations in order to help maintain 24/7 coverage n the Emergency room Patient Access area.
Directs patients to appropriate ancillary departments. Coordinates with nursing supervisor and/or Nursing unit to arrange proper bed assignment and transports or arranges for transport of patient to nursing unit.
Performs receptionist duties while answering telephones, paging overhead/radio, taking messages for doctors and nurses, and contacting physicians for patients or ER Physicians.
Provides coverage for PBX for breaks, lunches and after hours. Performs all functioning duties there during coverage times and daily after 8:30pm, including answering and directing all incoming calls, calling of all codes, accepting payments, and providing information to patients and visitors.
Operates printer, scanner, credit card terminal and copy machine.
Maintains confidentiality of all personnel and patient care and relations information.
Actively participates in Strategic Quality Management for the department and organization. Actively participates in Customer/Guest Relations and Mandatory Educations programs.
Follows hospital and departmental policies and procedures
Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.
Must be free from governmental sanctions involving health care and/or financial practices.
Performs other duties as assigned.
Education: High School graduate or GED equivalent.
Certifications required: See Cardiopulmonary Resuscitation Certification Policy and Certifications/Education Requirements Policy.
Experience: Prior medical office and/or hospital admitting experience preferred. Prior customer relations experience. Prior computer keyboarding and 10-key calculator experience. Medical terminology knowledge preferred. Prior hospital/medical billing experience preferred.
Essential Technical/Motor Skills: Fine finger dexterity necessary for inputting data/typing, ability to speak clearly necessary for answering telephones/radios.
Interpersonal Skills: Work requires interpersonal skills to communicate effectively with individuals who have varying levels of comprehension.
Essential Physical Requirements: Able to work in a loud (noisy) environment, able to sit for long periods of time, may be required to lift up to 50 lbs., ability to transport information/patients as required, work may require reaching overhead and repetitive activity.
Essential Mental Abilities: Ability to organize and prioritize workload, and to work with computers and various software programs. Ability to think quickly and handle various projects simultaneously. May require analyzing, explaining/teaching, attention to detail, memorization, assessing/evaluating, calculations, problem solving/reasoning all performed with little or no supervision.
Essential Sensory Requirements: Sufficient vision, hearing and speech to perform duties.
Exposure to Hazards: Inside work with possible temperature changes, possible extreme noise. OSHA CATEGORY II. TASKS THAT INVOLVE NO EXPOSURE TO BLOOD, BODY FLUIDS, OR TISSUES, BUT EMPLOYMENT MAY REQUIRE PERFORMING UNPLANNED CATEGORY I TASKS. The normal work routine involves no exposure to blood, body fluids or tissue, but exposure or potential exposure may be required as a condition of employment. Appropriate protective measures should be readily available to every employee engaged in Category II tasks.
Hours of Work: Ability to work up to 12 hour shifts in any 24 hour period. Occasionally work overtime. May be required to work evening, weekends, holidays, and night shifts. May be required to rotate day and night shifts.
Employees working in healthcare facilities have the potential to be exposed to hazardous materials including: Hazardous Chemicals/Drugs, Waste Anesthetic Gases, Radiation, Latex, Biological Hazards, Respiratory Hazards and Ergonomic Hazards. See Hazardous Materials in the Workplace Policy.
Abides by all Department Rules and Expectations as set forth and communicated.