Patient Access Rep- Community Clinic Alexandria

Company: Christus Health
Location: Alexandria
Posted on: March 14, 2019

Job Description:

Description
Patient Access/ Scheduling facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access/Scheduling staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access/Scheduler has numerous procedural requirements including data elements, insurance verification, and authorization for services, collections for all patient portions including prior balances and balancing of cash at shift end. Patient Access / Scheduling staff is responsible for the successful financial outcome of all patient services. Patient Access/ Scheduling communicate directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, behavior, and good communication skills. Patient Access/Scheduling representatives require dependability, flexibility, and teamwork.





CORE COMPETENCIES:



Customer Focus -- Building strong customer relationships and delivering customer-centric solutions.

Communicates Effectively -- Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.

Decision Quality -- Making good and timely decisions that keep the organization moving forward.

Collaborates -- Building partnerships and working collaboratively with others to meet shared objectives.

Nimble Learning -- Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.

Demonstrates Self-Awareness -- Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.

Goals -- Completes quarterly goals

Delivering the Mission -- Performs duties as defined in this job description and demonstrates mastery of role..





MAJOR RESPONSIBILITIES:



REGISTRATION / SCHEDULING
Obtains and accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.

- Data fields include but are not limited to: address, employment, insurance info, nearest relative, guarantor, insurance plan, admitting diagnosis and physician information.

Prioritizes and completes registrations/scheduling in a consistent, courteous, professional, accurate and timely manner.
Ensures each patient is assigned only one medical record number.
Selects appropriate patient type based on the department and services required.Hospital consent forms
Assignment of benefits
Acknowledgement of Account
Financial Assistance Application
Advance Directive. (Obtains information from all patients over 18 years of age, and provides written information to patient when requested.)
Patient Rights



Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents. Knowledgeable of all such documents.

Documents in account notes.

Ensures orders are received and are consistent with tests/procedures.

Gives patient documents that he/she needs to take with him/her to other departments.

Insurance Verification / Explanation of Benefits
Verifies eligibility and obtains necessary authorizations for services rendered.

- Answer Medicare Secondary Payor Questionnaire.

- Utilizes online eligibility

- Obtains authorization/ verification of required insurance companies.

Utilizes appropriate spreadsheets and worksheets to calculate patient financial responsibility.

Performs financial assessment for appropriate program assistance.

Utilizes appropriate guidelines to assist patient with financial responsibility.
Demonstrates accuracy in selecting insurance plans (I-plans).

COLLECTIONS
Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.

- Utilizes appropriate language and behavior to collect patient financial responsibility.

- Collect co-payments, deductibles, deposits and /or amounts due on previous accounts.

- Knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous professional manner

- Knowledge of insurance plans

- Knowledge and ability to review and explain previous accounts

- Knowledge and ability to complete account acknowledgement forms when appropriate

- Collects cash, prints receipts and balances cash drawers.

CUSTOMER FOCUS
ErrorS
Other
Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty.
Greets patients in a courteous and professional manner.
Calls patients by name.
Asks patients if they may have special needs.
Represents the Patient Access / Pre-Access department in a professional, courteous manner at ALL times.

Adheres to the Accrue error percentage rate of 93% or above on a consistent basis when registering accounts.
Utilizes education information to reduce Agency errors.
Requests additional education information when necessary.
Demonstrates ability to select correct insurance plans.

Required to assist the hospital in the event of an internal or external disaster.
Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change.
Supports the department in achieving established performance targets.
Completes required training as needed.
Performs all other duties as assigned.
Demonstrates reliability and dependability by reporting to work when scheduled.
Business Literacy - Understands the health care environment with its challenges and opportunities. Demonstrates comprehensive job knowledge and skills and understands the impact of personal actions on the organization.
Interpersonal Relations - Promotes collaboration, open communication and team spirit.
Innovation and Change - Develops individual knowledge and new skills. Improves CHRISTUS' processes, systems and performance. Resourceful and enthusiastic in responding to new challenges
Adaptability - Maintains effectiveness during stressful situations; adjusts effectively to process changes. Flexible to meet the needs of the department and community.
Personal Effectiveness - Performs quality work, takes initiative and accepts responsibility. Meets established timelines through effective time management; seeks feedback to improve performance, and demonstrates a positive, "can do" attitude.
Decision Making - Takes action that is consistent with available facts, constraints, and probable consequences. Takes action to achieve goals beyond what is required; is proactive.



Requirements
EA. Education/Skills:
Successful completion of the core educational curriculum "Excellence at the Front End" required within one year of employment (Patient Access).
Must have knowledge of medical terminology and understanding of basic anatomy and physiology.
Prior scheduling knowledge preferred (Scheduling).

B. Experience:
Other:

Demonstrate proficiency and knowledge of Patient Access/ Centralized Scheduling operations
Excellent communication and organizational skills
Demonstrate excellent customer service skills
Ability to apply principles of process improvement
Must be able to follow detailed instructions and perform repetitious tasks
45 wpm typing required
Computer/basic keyboard skills, telephone skills, and general knowledge of office machines including printers, fax, copier, scanner, and credit card machines required
Proficient in Microsoft Office
Skilled in interpreting and analyzing data
Ability to read, comprehend and retain information
Demonstrated contribution and achievement of department collection initiatives
Knowledge of basic medical terminology required

C. Licenses, Registrations or Certifications
None

Keywords: Christus Health, Alexandria , Patient Access Rep- Community Clinic Alexandria, Healthcare , Alexandria, Louisiana