Patient Access Rep 1-PRN

Department:

10496 Revenue Cycle - Offsite Clinics: Good Shepherd

Status:

Part time

Benefits Eligible:

No

Hours Per Week:

0

Schedule Details/Additional Information:

As needed. Minimum 32 hours per month with weekend and 2 holidays.

Major Responsibilities:

• Performance of routine secretarial and clerical services in support of department activities. This may include:
  •     3)Contacts physicians to obtain and clarify orders. Performs follow-up of verbal orders. Performs standing order review and creates accounts as appropriate.
  •     4)Open, sort, and route mail to the appropriate individuals.
  •     5)Greets patients and directs visitors. Answers multiple incoming telephone lines, accurately determining the appropriate recipient of the call or message and referring them promptly and appropriately.
  •     6)Orders forms and office supplies as needed
  •     7)Monitors and maintains various work queues and issue reports, and/or performs special projects as assigned.
  •     1)Receives, properly responds to, or redirects telephone, electronic, and in-person inquiries from patients, payers, physician and their staff, internal departments, external organizations and other persons or entities. Obtains, receives and documents accurate and thorough information when taking messages or redirects calls appropriately. Schedules appointments as applicable.
  •     2)Monitors the receipt and indexing of faxes received through the electronic storage software, fax scanning system. Performs maintenance on scanned faxes, including interpreting physician orders; and naming, sorting and filing of faxes.
• Medical Record Services: Upholds standards for accurate and timely medical records
  •     2)Creates and maintains patient records and files within the department.
  •     3)Prepares charts for scanning, ensuring that all pages are present, completed and labelled with patient identification. Follows up with appropriate individual if documentation is absent or incomplete
  •     1)Scans charts, ensuring that all pages are legible, upright, scanned to the correct account. Indexes scanned pages to correct document type.
• Accurately collects and analyzes all required demographic, insurance/financial and clinical data necessary to register/admit patients from all payer classes.
  •     3)Understands and follows all government, managed care and commercial insurance plan rules as they relate to patient access; and ensures accounts are in order for timely billing and collection.
  •     4)Collects and records accurate and thorough patient, guarantor, insured and insurance information when registering patients' accounts
  •     5)Interprets and validates physician orders for service, uses appropriate accommodation and service codes; and establishes account parameters to ensure revenue is properly recorded and accurate bills are produced
  •     6)Accurately generates, assembles and processes all required forms, documents and reports including face sheets, labels, and medical record forms, and other special documents. Produces and distributes these on a timely basis to both internal and external parties.
  •     7)Using insurance eligibility software, validates demographic information and assures patients are eligible for service provided.
  •     8)Recognizes communication obstacles for patients with loss of hearing and/or sight, and those that have trouble in reading, writing and understanding the English language. Responds appropriately to patients' communication needs, secures interpreter or other necessary assistance to ensure customer comprehension.
  •     9)Appropriately explains, secures, and witnesses all signatures required to provide medical treatment, assign insurance benefits, release information, establish financial responsibility and meet other internal regulatory, or payer requirements.
  •     1)Using approved identification standards, positively identifies the patient and ensures assignment of a unique medical record number
  •     2)Completes the Medicare Questionnaire for all Medicare patients.