Outpatient Registration/Customer Service Rep

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.   

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Not Benefits Eligible

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

7645 SRCC Rad Onc-Hanford

Ensures high quality work for non-clinical duties and patient care services with emphasis of excellence service to customers.

QUALIFICATIONS

Education
Required: High School Diploma or equivalent
Preferred: College courses


Experience
Required: Minimum of one year Patient Access, data input, medical terminology, transcription, customer service, medical records and/or billing/coding experience
Preferred: Insurance benefits and medical terminology experience is helpful

Knowledge/Skills/Abilities
Excellent communication skills, data input skills
Spanish speaking helpful
 

JOB RESPONSIBILITIES

Essential

Answers department phones timely and professionally. Assists customers timely with patient access concerns. Routes calls as appropriate to other staff or location.

Must be accountable for the QA for own work. Utilizes all computer programs and procedures to ensure accuracy.

Maintains confidentiality and protects sensitive data at all times.

Adheres to organizational and department specific safety standards and guidelines.

Provides patient with privacy Notice for HIPAA requirements. Obtains appropriate signature and documents accurately in the system as required for compliance.

Ensures that all efforts provide value and meets the needs of departmental customers.

Answers all inquiries from both internal and external customers in a timely manner. Inquiries are via telephone, email, fax and in person.

Always finds a way to be productive during slow times.

Displays proficiency in applicable programs. Thoroughly documents activity.

Assures that documents are appropriately identified to be scanned into EMR.

Addendum (essential for specific dept)

IF ASSIGNED TO PATIENT ACCESS/REGISTRATION FOR SRCC RESPONSIBSLE FOR:

Accurately completes the admission, registration or pre-registration of a patient presenting for services. Obtains Advanced Directives for Medical Records. Provides patient with written material as required by State and Federal Law. Obtains signatures necessary including but not limited to HIPAA, COA, etc. Properly identifies correct patient and affixes an armband/label for positive identification of patient. Works with physicians’ offices to obtain orders and assists in obtaining authorization. Understands Medicare coding, diagnosis codes, CPT codes to assure proper billing and use of ABN in order to provide as necessary to patient. Accurately completes pre-registration for patient presenting for services. Contacts patient when necessary to obtain any additional information needed to complete pre-registration prior to scheduled services. Contacts patient one business day prior to scheduled service to confirm appointment. Explains to patient any special preparations required for service being performed. 9Pre-registers patient for their procedures as needed and verifies their insurance coverage either online or by phone. Obtains all necessary information from physician’s office to schedule and provide services to the patient. Information needed includes but is not limited to patient chart information, labs and proper reason for exam. Demographic information for patient as well as insurance information must also be obtained. Schedules all procedures for patients in a timely manner and follows office policy. Accurately enters information about each procedure into the scheduling system including any special information about the patient, i.e. allergies, wheelchair, translator etc. Obtains necessary release signatures for any PHI. Assures that documents are appropriately identified prior to being scanned into the patients EMR. Checks in patients, verifies and updates necessary information in the EMR and computer systems.

IF