Patient Access Rep PRN - Machias, United States - Down East Community Hospital

Description

JOB SUMMARY AND SCOPEThe functionality of this position is to effectively and efficiently process all patients to all services in the hospital by maintaining front desk reception, switchboard, and registration in a courteous, professional manner.

Patient education will be performed by the registration clerk in many areas including but not limited to:
Free Care, Advanced Directives, Patient Consent, Patient Rights, Notice of Privacy Practice, and the Advanced Beneficiary Notice.

ESSENTIAL JOB FUNCTIONSResponsible for all aspects of switchboard operation:

Process all inquiries and requests at front desk reception and switchboard efficiently which includes answering all incoming phone calls and transferring to appropriate departmentsMaintain a current working knowledge of new and departing staffRecord arrival time and registration time of all patients that present for servicesMaintain visitor sign in for Obstetrical patientsSort incoming patient mail by room number and deliver to appropriate nursing station.

Re-address mail to discharged patients and put in outgoing mail.

Unlock various offices and file cabinets, relocking at department closingResponsible for all aspects of outpatient and inpatient registration:

Completion of all data screens on registration profile and verifying information for each date of serviceAssessment of patient's insurance coverage including eligibilityMaintain a current working knowledge of outpatient coverage issues and assessing medical necessity when applicableAdheres to all aspects of the POS policy as applies to IP and OP registrations.

Prepare and explain Advanced Beneficiary Notices when applicableCompletion of Medicare Secondary Payer Questionnaire on all Medicare patientsAssist physician office staff in understanding National Coverage PoliciesProvide Notice of Privacy Practice and obtain patient signatures on hospital consent forms for each date of service including establishing a responsible party of patient when patient is unable to signVerify outpatient orders and all required informationEstablish existence of an Advanced DirectivePrepare all preoperative and surgery paperwork necessary to register patient as scheduled by Operation RoomRecognize those patients who may qualify for Free Care and offer applicationMaintenance of supplies to perform job functionsAdhere to departmental dress codeSeeks out needed information by staying informed and involved by attending meetings, reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner.

Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demandsPerforms duties in a safe manner, in compliance with all safety policies and proceduresComplies with the Code of Conduct and all appropriate policies and proceduresOther duties, as assigned, that are relevant to the position and departmentRequirementsMINIMUM REQUIREMENTSHigh School Diploma or GED with on the job trainingExperience with various computer systems and typingKnowledgeable in medical terminologyKnowledgeable in various health insurance plansKnowledgeable in daily operations of a business office and general office machinesAbility to work independently as well as in a team setting, and performing under pressure and with periods of interruptionExcellent communication and organizational skillsPHYSICAL EFFORT AND ENVIRONMENTSedentary:
Occasionally lifts up to 10 pounds independently. Sits most of the time. Stands or walks briefly.


EXPOSURE RISKExposure Category III:
Employee not reasonably expected to be at risk for exposure to blood borne pathogens.
QUALITY IMPROVEMENTMaintains current knowledge of the hospital-wide Quality Improvement Program.
Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes.
Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager.
COMPLIANCEAdheres to the federal, state, and local statutes and regulations.
Adheres to the Compliance Program policies and procedures of Down East Community.
Adheres to all Privacy and Security policies and procedures of Down East Community.
Communicates any concern related to compliance issues to manager of department or Compliance Officer.
Communicates any concern related to confidentiality issues to the Privacy Officer.