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Admin/Clerical - Patient Access Representative III - Duarte, United States - ICONMA
Description
Patient Access Representative IIILocation:
Duarte, CADuration: 3 Months with possible contract to hire /with possible extensionDescription:
Job Description:
Compiles and records patient information.
Arranges medical appointments for patients. Conducts the check-in process for patients at the front desk. Verifies insurance and gets benefits. Virtual and in-person consenting new patients.
Minimum Qualifications & Experience:
2-3yrs relevant experience. Experience with insurance verification. EPIC experience is a plus.
Minimum Education:
HS graduate required
Position Summary:
The Patient Access Representative III is responsible for the check-in and check-out of patients on behalf of medical group physicians and other licensed providers.
This role requires a high level of independent judgement in order to successfully coordinate the scheduling of patient appointments across multiple hospital departments.
This individual is expected to utilize telecommunications and computer information systems to create accounts, verify information and insurance, collect co-pays, schedule and re-schedule complex appointments.
The Patient Access Representative III is best defined as a highly independent and flexible resource that focuses on system-specific service lines that are in alignment with the patient experience initiative.
Furthermore, this role must multi-task between different patient care areas to ensurean extraordinary patient experience and that quality standards are met.
Additional duties include, but are not limited to:
physician to patient communication and serving as an information resource
Essential Functions:
50% Registration and Scheduling:
Demonstrates an in-depth understanding of the flow of the patient registration and scheduling process within the paper and electronic environments.
Registers, pre-registers, consents and schedule all patient appointment types, across the clinics, ancillary areas and hospital. Creates pre-registration record and links pre-registration record to scheduled appointments. Proactively coordinates appointments with other functional areas.Maintains department productivity, accuracy, and quality assurance standards while performing these duties. Ensures data is entered accurately for all patient demographicand insurance information. Completes all required legal documents, and obtains and scans all other related documents. Performs cash collection functions, patient pricing estimates, admission, and discharge and transfer functions.
Ensures that financial protocols and requirements are met while providing access to service at COH facilities by reviewing account documentation.
Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management.
Provides patient with itineraries, advance beneficiary notice and written instructions for tests and procedures as applicable.Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues and ensuring financial clearance of account.
Provides information and assistance to patients to ensure they understand the Financial Assistance policy andapplication process. Provides Financial Assistance applications to all uninsured patients.Screens ordered tests and communicate to physician and/or ABN Specialist those tests and/or diagnoses that do not meet criteria to be covered by MedicareAssures that the correct pre-registration visit encounter type is linked to the scheduled appointment.
Creates a request for authorization of service if applicable. Sends orders for diagnostic tests to appropriate department. Assures that documentation indicating the dateof service and the visit number accompanies the orders for diagnostic testing.30% Customer Service:
Ensure a high level of customer service by greeting, being a resource to patients and visitors.
Serve as a liaison between patients and support staff. Develop effective relationships with colleague, physicians, providers, leaders and other employees across the organization.
Demonstrates genuine interest in helping our patients, providers and other employees by using excellent communication skills, being polite, friendly, patient and calm under pressure.
Managing multiple, changing priorities in an effective and organized manger, under stressful demand while maintaining exceptional service. Maintain composure when dealing with difficult situations and responding professionally. Independently recognize a high priority situation, taking appropriate and immediate action.Effectively communicates with service delivery and other departments to resolve issues that impact patient care and escalating issues that cannot be resolved in accordance with departmental guidelines.
15% Quality Assurance:
Maintains appropriate level of productivity and accuracy for work performed based on department standards.
Maintains thorough knowledge of policies, procedures, and standard work within the department in order to successfully performance duties on a day to-day basis.5 % 1.
Miscellaneous Duties:
Performs other departmental duties as assigned, such as answering and making phone calls, managing incoming/outgoing faxes, organizing and filing departmental documents, inventorying supplies, data entry, etc.
Follows established Client and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan.
Practices a high level of integrity and honesty in maintaining confidentiality.Performs other related duties as assigned or requested.
The following Pillars in Action are the behaviors that accelerate our impact as we deliver on our Vision andPosition Qualifications:
Minimum Education:
High School or equivalent
Minimum Experience:
Two years related experience registering and scheduling complex patient appointments in a clinic or hospital setting. Medical terminology and EPIC electronic medical record experience required.
Required Courses/Training:
EPIC EMRPref
Certification/Licensure:
Preferred Experience:
EPIC electronic medical record experience and At least two years frontdesk oncology practice experience
Skills/Abilities:
Ability to recognize and use medical terminologyExcellent oral/written communication, interpersonal, collaborative, analytical and organizational skills.
Bilingual preferred.
Demonstrated ability to effectively schedule patient appointments usingEPIC EMR for a patient either at point-of-service or over the phone.
Function with minimal supervision with high level of productivityFoster and promote a positive and professional imageMust be able to foster and maintain sound working relationships.
Independently motivated and driven to achieve high goalsEffective use of telecommunications and electronic medical record systemsSeek continuous improvement in knowledge and skillsDemonstrates ability to manage multiple, changing priorities in an effective and organized manner, under stressful demands whilemaintaining exceptional service.
Demonstrated ability to maintain composure when confronted by difficult situations and to respond professionally.Maintains commitment to our extraordinary patient care standards and guidelinesInterpersonal/human relations skills.
Strong knowledge of PC, phone systems and technology.
Readily accepts work assignments and changes in a positive manner.
Skill in recognizing an emergency or high priority situation, taking appropriate and immediate action.
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
