- Targets and achieves results, overcomes obstacles, acceptsresponsibility, establishes standards and responsibilities, creates aresults oriented environment, and follows through on actions.
- Communicates well both verbally and in writing.
- Generates novel ideas and develops or improves existing and new systems thatchallenge the status quo, takes risks, and encourages innovation.
- Possesses the ability to define issues and focus on achievingworkable solutions.
- Listens to customers, builds customer confidence, increasescustomer satisfaction, ensures commitments are met, sets appropriate customerexpectations, and responds to customer needs.
- Effectively and productively engages with others and establishestrust, credibility, and confidence with others.
- Motivates, empowers, inspires, collaborates with, and encourages others.
- Knows when and how to attract, develop, reward, andutilize teams to optimize results.
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Patient Access Representative
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Patient Access Rep/Scheduling/Verification - Covington, United States - Avala
Description
Summary Under the supervision of the Business Office Assistant Manager, he/sheis responsible for obtaining accurate patient demographics and insuranceinformation during the patient interview process; the process includesin-person, and phone interviews, corrects information as needed.
Processes theregistration including obtaining the patients signature on the Authorizationfor Treatment, Advanced Beneficiary Notice (ABN) and completing the MedicareSecondary Payer (MSP) questionnaire.
Scans all necessary documentation intoCPSI Patient Account. Performs verification of benefits and fully understandsplan benefits.Collects co-payments, estimated co-insurance and deductibles,which includes phone calls to patients to discuss financial responsibilityprior to service as well as collecting at time of service.
Answers incomingphone calls and assist caller as needed. And any other duties assigned by theBusiness Office Assistant Manager.Essential Duties and ResponsibilitiesRegistration andVerification Able to handle heavy phone volumes, ensures thatcallers are transferred to the appropriate department and/or person.
Answerscalls in a timely manner; identifies department and self when answering thetelephone. Able to handle all codes and stat calls proficiently.Verifies that patient demographic information isaccurate and ensures that insurance cards, consents and other admissiondocuments are complete and in order.
Ability to explain required forms to the patientin detail (i.e:
Authorization for Treatment, Advanced Beneficiary Notice(ABN), and Medicare Secondary Payer (MSP) questionnaire). Obtains requiredsignatures as needed. As part of the pre-registration process,contacts patient to verify demographic information, insurance information, andMSP questionnaire. Ability to verify insurance coverage andunderstand benefit requirements and ensures that allnotification/authorizations are completed based on plan requirements.
Work with physician offices to obtain necessaryauthorization on scheduled procedures.
Ability to explain insurance benefits topatient.
Informs patients of estimated balance due basedon plan benefits and collects monies due at time of service.
Assist with chart preparation, ensuring that allpackets are accurate; forwards charts to ENDO and/or other nursing personnel atleast 3 days in advance of scheduled procedure.
Demonstrates knowledge of all features andfunctions of the CPSI Patient Accounting areas. Notifies appropriate staff regarding any issues orconcerns in a timely manner. Balances daily receipts list to cash, checks,and credit card payments received at the end of each day.Communicates with management/physician officesregarding any problematic insurance concerns that may affect the payment ofservices. Other Duties Functions as back up to conciergeOther duties as assigned Core CompetenciesActionOrientation
Communications
Creativity/Innovation
CriticalJudgment
CustomerOrientation
InterpersonalSkills
Leadership
Teamwork
Professional RequirementsMeets dress code standards and adheres topolicies.
Completes annual education requirements.
Maintains regulatory requirements.
Maintains patient confidentiality at all times.
Reports to work on time and as scheduled,completes work within designated time.
Wears identification while on duty, usescomputerized punch time system correctly.
Completes in-services and returns in a timelyfashion.
Attends annual review and departmentin-services, as scheduled.
Attends staff meetings annually, reads andreturns all monthly staff meeting minutes.
Represents the organization in a positive andprofessional manner.
Actively participates in performance improvementand continuous quality improvement (CQI) activities.
Complies with all organizational policiesregarding ethical business practices.
Communicates the mission, ethics and goals ofthe hospital, as well as the focus statement of the department.
Promotes professional growth of subordinates bysharing knowledge and/or directing them to sources if information appropriateto given situation. Utilizes journals, books, etc. to learn and/or improve newtechniques and equipment.
Assists other staff members in performing anyduty that enhances the delivery of patient care. Regulatory RequirementsHighschool diploma.
Two (2) or more years' experience. SkillsAbility to communicate effectively in English,both verbally and in writing.
Basic computer knowledge.
Physical DemandsThe physicaldemands described here are representative of those that must be met by anemployee to successfully perform the essential functions of this job.
Whileperforming the duties of this job, the employee is regularly required to talkand hear. This position is very active and requires repetitive motions, standing,walking, bending, kneeling and stooping all day. The employee must frequentlylift or move items weighing up to 20 pounds.
