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Patient Access Rep

Company: Christus Health
Location: Alexandria
Posted on: September 15, 2019

Job Description:

Description
POSITION SUMMARY:



Patient Access / Pre-Access Representatives II 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 / Pre-Access Representative II ensures that all data entry is accurate including scheduled procedures. demographic and financial information, insurance verification, authorization for services and collections of patient portion. Patient Access / Pre-Access Representative II communicates directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, behavior, good communication skills, dependability, flexibility, and teamwork.



Scheduler will be responsible for verifying medical necessity when scheduling patients for all procedures. Each Scheduler will have ICD-10-CM diagnosis code and CPT procedure code assigned to each case



This advanced level position is designed to promote the demonstrated knowledge and competency of Patient Access Scheduler / Pre-Access duties in multiple areas, including a demonstrated ability to use good judgment in making independent decisions to resolve customer issues in all routine operations.



CORE COMPETENCIES



Action Oriented -- Taking on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm.

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:

associate mentor/trainer (and/or team lead)
Serves in team lead role (if so assigned).
Runs and works Meditech exception reports.
Tracks data and performs data analysis as assigned by manager.
Trains other associates and communicates changes in policy/procedure.
Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures.
Mentors and trains other associates.



assigns icd-10-cm diagnosis codes and cpt procedure codes
When scheduling procedures associate will assign the proper codes in the scheduler notes.



ordersmart faxed documents WILL BE DISPOSIITONED DAILY
Ensures orders received are consistent with tests/procedures.
Orders are indexed timely with the appropriate information attached to the physician's order





4. 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.
Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents. Knowledgeable of all such documents.Hospital care consent
Notice of Visit
Health Information Exchange (HIE)
Important Message from Medicare (IMM)
Medicare Outpatient Observation Notice (MOON)
Financial Assistance Application
Notice of Privacy Practices
Patient Rights


Documents in account notes.



Insurance Verification / Explanation of Benefits
Verifies eligibility and obtains necessary authorizations for services rendered.Utilizes online tools to verify insurance benefits, run medical necessity, determine estimate for services and process upfront collections.
Answer Medicare Secondary Payor Questionnaire.


Demonstrates accuracy in selecting insurance plans (I-plans).Knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous professional manner
Knowledge and ability to review and explain previous accounts
Demonstrates contribution and achievement of department collection initiatives.





CUSTOMER FOCUS
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



ErrorS
Reviews Accureg daily to ensure a 99% accuracy rate.
Requests additional education information when necessary.





Requirements
Requirements:
Two years' experience in hospital registration or a comparable position preferred

Certified Healthcare Access Associate through National Association of Healthcare Access Management (NAHAM) or Coding Certificate.

Keywords: Christus Health, Alexandria , Patient Access Rep, Other , Alexandria, Louisiana

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