Patient Access Specialist - Access Center
Location: Omaha Nebraska
Description: Children's Hospital & Medical Center is in need of Patient Access Specialist - Access Center right now, this vacancy will be placed in Nebraska. For complete informations about this vacancy opportunity please give attention to these descriptions. Facilitates admission and registration process for all inpatients and outpatients. Obtains essential information for registration and p! re-certification, ensures all data is accurate, forms are complete and signed for inpatients, surgical, diagnostic and clinical outpatients. Establishes good rapport with and maintains effective communication with patients, parents, physicians, house officers, nursing staff and others. Advises patients of financial responsibilities and payment expectations.
Essential Functions/Competencies
% of Time
80%
OUTPATIENT CLINIC, EMERGENCY, AND ANCILLARY REGISTRATION.
Receives notification of need for registration/reservation from patient, caregiver, physician, physician agent, surgery scheduling, nurses, or clinics & can identify specific registration protocol based upon patient clinic type.
Obtains complete and accurate patient, demographic and insurance information, identifying all payment sources and pre admission certification requirements to enhance the revenue cycle and prevent denials of reduction in benefits.
A! ssembles forms/patient packets as necessary.
Converts! pre registration to visit when a patient/family arrives in a timely manner and assembles patient charts when required.
Responsible for verifying all demographic information is complete and accurate in both AM and Epic registration systems and communicates such information to all parties involved.
Obtains complete and accurate data at the bedside for patients when appropriate, thus supporting the medical needs of the patient.
Obtains authorization for medical treatment/testing or admission from parents or legal guardian. Seeks to obtain accurate sociologic information to ascertain responsibility for signing the Authorization for Treatment. Refers to Social Worker when legal guardianship issues arise.
Distributes Privacy Notice to parents and obtains written acknowledgement of receipt of notice.
Communicates NeHii disclosure and documents in Registration system(s)
Obtains copy of driver’s license or other picture identi! fication in accordance with red flag policy and procedures.
Prompts the collection of co-payment, deductible, co-insurance or deposit of self-pay balances at this time of registration if not previously collected.
ADMISSIONS
- Receives notification of need for registration/admission from physician, physician agent, surgery scheduling, nurses, or clinics.
Places wristband with verified demographic information directly on patient at point of admission.
Obtains complete and accurate patient, demographic and insurance information, identifying all payment sources and pre admission certification requirements to enhance the revenue cycle and prevent denials of reduction in benefits.
Prompts the collection of admission co-payment when identified during the insurance verification process.
Obtains complete and accurate data at bedside for all nonscheduled admissions, when app! ropriate, thus supporting the immediate medical needs of the patient.
Coordinates bed assignment with the Clinical Nurse Coordinator. Monitors bedside registration and ED Bed Board.
Obtains authorization for medical treatment/testing or admission from parents or legal guardian. Seeks to obtain accurate sociologic information to ascertain responsibility for signing the Authorization for Treatment. Refers to Social Worker when legal guardianship issues arise.
Creates admission visit with appropriate status, bed type, and accommodation when a patient/family arrives, notifies the CNC or assigned floor and assembles patient charts.
Determines if patient is an adult in Nebraska for completion of Advance Directive status. If there is an Advance Directive instructs patient/parents that it must be placed on the chart. If of legal age and no Advance Directive, provides information on creating an Advance Directive. Documents correctly in AM and Epic
Assumes responsibility of daily follow-up with Signature Bin ! with emphasis on collection of insurance information for timely authorization
Issues proximity cards to parents in Access from 7AM-8PM and Security resumes responsibility around those hours.
15%
2. FINANCIAL RESPONSIBILTIES
- Identifies, collects and accepts copayments and payments on account at time of registration. Also looks for existing or prior balances and works to collect those. Refers family to Patient Financial Counselor for assistance when required.
Reviews all sources for balance due within Epic and Eclipsys upon patient arrival and makes attempt to collect.
Assures completion of Self-Pay Form for all true self-pay accounts and forwards to Patient Financial Counselor.
Obtains ABN form when applicable.
Completes daily deposit and manages cash drawer to ensure balancing and posting needs are met accord! ing to the department.
Develops working knowledge of insurance! companies and their requirements.
Verifies Medicaid eligibility through NMES line or N-Focus/ web eligibility, and/or Americhoice.
Utilizes Passport electronic eligibility on all applicable payors for eligibility and to determine out of pocket patient responsibilities
Utilizes available websites for non-Passport eligibility inquiries.
Calls insurance company to initiate the pre certification/referral process when not already in place for lab/rad/clinic visits.
3%
3. ADDITIONAL RESPONSIBILITIES
Enters into AM all patient transfers, discharges, expirations and physician notification changes
Answers and directs multi-line phone within 2-3 rings.
Completes Add/Change physician form when physician not in AM pull down menu, routes completed form to Medical Staff Office & follows through with updating patient registration once physician has been added to AM.
Coordinates Outpatient Ambulatory! Ancillary services & can identify specific registration protocol based upon patient clinic type.
Completes opening and closing department routines including separating and sorting reports generated by computer and fax, filing or delivering reports to the appropriate person, and giving shift change report.
Receives and transports specimens collected outside of the facility.
Coordinates with CyraCom or in-house interpreter to facilitate registration of limited English proficiency customers.
Perform physical requirements as described in the Physical Requirements section
Regular attendance at work is an essential job function.
SECONDARY FUNCTIONS/COMPETENCIES
2%
Performs other related duties as assigned.
100%
JOB STANDARDS
Achieves department/organization Outcomes
All
Patient/Customer Satisfaction
Interacts with patients/families/customers/employees and! utilizes feedback to improve and reinforce satisfaction
Meets! department/organization satisfaction goals
Financial
Identifies and implements systems and processes to improve efficiency and reduce expenses that do not compromise quality of services/mission.
Meets department/organization financial goals
Quality
Utilizes performance measurement to improve patient/customer outcomes.
Meets department
/
organization quality goals.
Dept.
Specific
Patient/Customer Satisfaction
Knowledgeable of Patient Satisfaction/Advanced Directive data
Initiates Patient Concern reporting through online Variance reporting system
Explains purpose of activity before touches the patient
Keeps nursing staff aware of new orders.
Screens and forwards calls in an appropriate manner.
Assesses questions and concerns and develops a plan to address needs. Communicates information to appropriate person(s) in appropriat! e time frames to meet expectation.
Greets each family with smile and makes eye contact to acknowledge and introduces themselves.
Establishes good rapport with and maintains effective communications with patients, their parents/guardians, physicians, all visitors, house officers, nursing staff and other departments.
Asks “Is there anything else I can do for you?†prior to sending the patient/family on.
Financial
Collects 90% identified co-payment, deductible, and self-pay deposits at POS as identified during registration process
Participates in unit specific cost saving activities i.e., effort to reduce waste of paper, labels, packet & I.D. Bands
Uses good time management skills to ensure no overtime. If overtime is needed, it is approved in advance.
Quality
Maintain registration accountability measures maintaining overall department error rate of less than 5% or individually within publishe! d accountability measures.
Facilitates participation in the de! signated Health Stream Departmental goal.
Completes 95% pre-registration on scheduled patients at rate of 15 calls/hr
Provides input into opportunities for system improvements.
Able to describe and participates in unit specific Performance Improvement projects.
Takes personal responsibility to adhere to department/organization policies and procedures, compliance and regulatory agency requirements
All
Understands and performs role in emergency situations (i.e. disruptive individuals, internal/external disaster, CPR, Code Adam)
Understands and practices regulatory agency standards and department/organization policies/procedures including: Joint Commission, OSHA, HIPAA, Infection Control, Environment of Care, National Patient Safety Goals
Addresses non-compliance with department/organization standards
Meets mandatory department/organization job requirements within established time frames (i.e. phy! sicals, annual mandatory reviews, participates and physically attends 75% of required staff meetings, licensure/certification, CPR for direct care providers)
Dept.
Specific
Attends all assigned Town Hall Meetings as well as departmental staff meetings. Signs off on meeting minutes.
Passes annual Keyboarding Exam at 40 WPM with 99% accuracy.
Scores 90% or above on Annual Registration Exam.
Completes Non-violent Intervention Training and recertifies every two years.
Successfully completes yearly CHEX competencies.
Supports a work environment that focuses on staff, customer, patient/families through safe practices and effective communication.
All
Demonstrates and supports staff/visitor/patient/vendor identification policy
Utilizes variance reporting system to enhance safety and identify changes for best practice
Incorporates department/organization communication into wor! k practices
Protects Patient Privacy
Dept.
S! pecific
Maintains charts in a confidential manner.
Demonstrates personal ownership of the scheduling process, individual contribution, and staffing needs.
Communicates plan of care to the patient/family.
Incorporates JCAHO National Patient Safety Goals into patient care practices
Supports Shared Governance philosophy within and between units.
Completes Employee engagement survey when offered.
Monitors emails and notification and responds to all requests in a timely manner.
BEHAVIORS
Excellence in Service to Children, Families, Colleagues and Other Customers
Anticipates customer needs, understands their expectations and responds appropriately.
Respect for Human Dignity
Treats others with compassion, fairness, courtesy and respect while honoring their uniqueness.
Cooperative Work Relationships
Willingly works with others to identify and achieve common ! goals.
Positive Attitudes and Behaviors
Enthusiastically approaches their role and displays pride in the organization
Honesty and Integrity
Takes personal responsibility for doing the right thing.
Wise Use of Resources
Optimizes the talents of self and others and the use of time, materials and equipment.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of medical terminology.
Knowledge of billing CPT and ICD coding preferred.
Ability to type 40 words per minute with 99% accuracy.
Ability to pay attention to detail.
Ability to provide a pleasant and welcoming appearance to all with which you come in contact.
Ability to read, write, type, and follow oral and written directions.
Ability to work with minimal supervision.
EDUCATION AND EXPERIENCE:
High school diploma or GED equivalent required.
Minimum one year customer service ex! perience required.
One year experience working in a health car! e or insurance setting preferred.
CERTIFICATIONS/LICENSURE REQUIREMENTS:
Current and valid Basic Life Support (BLS) preferred.
SPECIAL REQUIREMENTS:
Non-Violent Intervention Training required every 2 years.
Position requires coverage 24 hours a day / 7 days a week. Must be able to work during assigned shift(s) (day, evening, night, weekend and/or holidays).
REQUIRED TRAINING & EMPLOYEE HEALTH REQUIREMENTS
Annual Physical
Annual Mandatory Review
Hepatitis B
TB Mask Fit
PHYSICAL REQUIREMENTS/WORKING CONDITIONS:
Physical Requirements
N/A
Less than 10%
11% to 49%
Greater than 50%
Work Environment
N/A
Less than 10%
11% to 49%
Greater than 50%
Stand
X
Blood and body fluid exposure*
X
Walk
X
Sharps, needles, etc.
X
Sit
X
Wet, humid conditions (non-weather)
X
Talk or hear
X
Work near moving mechanical parts
X
Displays manual dexterity
X
Fumes or airborne particles
X
Climb or balance
X
Toxic or caustic chemicals
X
Stoop, kneel, crouch or crawl
X
Outdoor weather conditions
X
Reach with hands and arms
X
Extreme cold (non-weather)
X
Taste or smell
X
Extreme hot (non-weather)
X
Lifting/pulling/pushing
X
Risk of electrical shock
X
Visual: Looking at computer screen
X
Medical Equipment
X
Other:
Risk of radiation
X
Weight Demands:
Vibration
X
Up to 10 lbs.
X
Loud noise
X
! Up to 20 lbs.
X
Quiet environment
X
X
Environmental noise
X
Up to 100 lbs.
X
Other:
More than 100 pounds
X
- Refer to the Infection Control Manual for a listing of job classifications which may be at risk of occupational exposure.
- .
If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Children's Hospital & Medical Center.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Tue, 02 Jul 2013 01:31:32 GMT