Patient Access Coordinator Full Time Job at ScionHealth, Logan, WV

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  • ScionHealth
  • Logan, WV

Job Description




JOB PURPOSE:

Performs receptionist, registration, and clerical duties associated with all patient types accessing hospital services. Greets patients, obtains demographic and financial information, obtains necessary signatures and collects payment from patient. Assists in all phases of the scheduling, pre-registration and registration processes.

ESSENTIAL FUNCTIONS

  • Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy utilizing the AIDET guidelines.
  • Distributes and explains forms, documents, and educational handouts to patients or family members. Secure all signatures necessary for treatment, release of medical information, assignment of insurance benefits, Medicare notifications as well as the financial consent.
  • Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
  • For Emergency Room Registrations, abides by EMTALA regulations and completes the registration functions in collaboration with applicable rules.  Ability to capture applicable information in a potentially stressful environment and collect monies at the patients’ bedside.
  • Verifies insurance benefits and obtains precertification/authorization as necessary.  Understands the benefits that are returned from the payer and is able to explain them to patients when having the financial discussion.
  • Reviews physician’s orders for completeness and compliance requirements, i.e., covered tests, diagnosis, prior authorizations, status, physician signature/date/time and ensures forms and record completeness.
  • Communicates and explains insurance benefits and coverage information to patients. 
  • Communicates to the patient the patient’s financial responsibilities, obtains co-pays, co-insurance and deductible amounts per the collections policy. Understands and follows the UFC guidelines for scheduled procedures including the escalation process.
  • Maintains a passing QA score and meets the Upfront Collection goals established, individual and team.
  • Practice and adhere to the Code of Conduct.
  • Other duties as assigned.

Supports our Employees, Physicians, volunteers, and Board members:

·         Complies with all organizational policies regarding ethical business practices

·         Treat all our colleagues as valuable members of our health care team and treat one another with respect and dignity

·         Demonstrates a commitment to working collaboratively with one another

Reflects positive customer service skills

·         Treat all those we serve with compassion and kindness

·         Represents the organization in a positive and professional manner

·         Maintains a courteous, cooperative, respectful and enthusiastic attitude

·         Maintains a professional appearance at all times

·         Wears identification while on duty

Strives to improve and deliver High Quality Patient Care

·         Strive to foster excellence and highest standards of work performance

·         Actively participates in performance improvement and continuous quality improvement activities

·         Attends in services, department meetings

·         Completes annual educational requirements

·         Maintains regulatory requirements

Recognizes individual needs and concerns of our Patients and their Families

·         Updates patients, families as appropriate during wait period

·         Treats patients and their families with respect and dignity

·         Respects the values, cultures, beliefs, and traditions of others

·         Follows HIPAA regulations; Maintains patient confidentiality at all times

·         Maintains patient privacy during all aspects of care or service

Understands and exhibits fiscal responsibility

·         Act with absolute honesty, integrity and fairness in the way we conduct our business

·         Reports to work on time as scheduled and ready and able to work

·         Use computerized punch time system correctly

·         Exhibits initiative and resourcefulness, uses time productively

·         Property, equipment and material resources are prudently utilized

·         Accepts accountability for departmental productivity goals

Safety

·         Strives to achieve the highest levels of safe clinical practice

·         Reports all accidents and incidents appropriately

·         Uses protective safety devices and equipment as appropriate

PROBLEM-SOLVING/CHALLENGES:

  • The incumbent is responsible for facilitating the registration process by entering patient data. 
  • The  incumbent utilizes interpersonal communication skills to respond to the patient questions and concerns. 
  • Ability to communicate effectively both orally and in writing. 
  • Ability to communicate verbally in a friendly, helpful manner with patients, visitors, physicians and other employees.  
  • The ability to  communicate calmly with people who are under stress in order to alleviate their physical condition and elicit cooperation.
  • Ability to work effectively in stressful situations. 
  • Failure to accurately enter  patient data may delay in reimbursement.  
  • The incumbent must be able to work independently and efficiently without supervision.

DECISION-MAKING:

  • The incumbent acts in accordance to the hospital and department policies and procedures while registering and admitting patients. 
  • Refers patient complaints and medical questions to the appropriate personnel. 

WORKING CONDITIONS:

PHYSICAL-

Ability to work inside, perform usually sedentary and light work sit while registering patients, with an equal amount of standing and walking. 

Ability to occasionally stoop, kneel, and crouch.

Ability to lift, reach and stretch repetitively motions of the wrists, hands and/or fingers, push and pull. 

Must have good hearing for verbal and telephone conversations. 

MENTAL/VISUAL-

Visual requirements include acuity, depth perception and accommodation frequently at distances close to the eyes to prepare and analyze data and figures to operate computer and switchboard and to do extensive reading. 

Visual requirement also include acuity, at arms length, while working the switchboard and manning the emergency control panels. 

A Minimum exposure to blood and body fluids is possible during registration of patients.

ENVIRONMENTAL-

The normal office environment, dusty conditions, contagious disease exposure, minimal amount of blood and body fluids. 

EQUIPMENT OPERATION-

Operates a variety of office equipment including computer equipment, calculator, intercom system, copier, fax machine and the central communication for the entire hospital.

WORKING RELATIONSHIPS:  Incumbent has daily contact with patient of all ages, family members, visitors, auxiliary members, clinical staff, medical staff, office personnel and emergency medical technicians in order to register, provide instruction, give and receive patient information.

Qualifications

Qualifications 

MINIMUM QUALIFICATIONS:

· Must possess reading, writing and mathematical skills and the ability to understand written instruction and receive and transmit information normally acquired through a high school diploma or equivalent (GED).

· Computer skills, with the ability to type a minimum of 35 words per minute, experienced with various office equipment such as: fax machine, calculator and copy machine, switchboard experience preferred.

· Previous receptionist/registration experienced preferred.

· Previous Meditech computer experience desired.

· Familiar with various health insurances payers such as: State, Federal and private insurance carriers, desired.

Job Tags

Full time, Work at office,

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