Patient Access Assistant-Medical Group-Days

Schedule

Full-time: 40hrs/week

Hours: Day shift with some rotating evening and Saturday hours possible

Opportunities available at the following practices: Pediatrics, Urogyn, Family Medicine Dallastown, OB/GYN, Orthopedics, Internal Medicine, Neurology and Digestive Health.

General Summary

Works under direct supervision. Represents the System in a professional manner, using good customer service practices in the performance of the following duties: Inpatient admissions, Registration, Patient Arrival, and Kiosk support. Performs a variety of functions including, but not limited to, pre-service outreach to patients, greeting all customers with a warm and personal greeting, promotion and support of self-service tools, interviewing, preparing admitting and other related forms, assigning rooms for inpatients (as appropriate), monitor waiting areas, and preparing information and charges for billing purposes. Also performs a variety of functions related to cashiering and insurance verification.

Duties and Responsibilities

Essential Functions:

• Conducts patient interview to collect accurate financial, biographic and demographic information for admission or registration.
• Explains financial requirements to the patient or responsible party and collects deposits or deductibles as required. Explains insurance coverages and requirements for precertification/preauthorization, as applicable.
• Prepares pre-admission and admitting forms, facilitates room transfers, prepares admitting and discharge reports.
• Reviews pre-arrival, pre-admission, and admission information to ascertain missing registration information, verify insurance coverage and eligibility.
• Collects and reviews registrations to ensure accurate financial and demographic information has been obtained and properly entered into appropriate information systems.
• Receives payments from patients and issues receipts. Works with the patient while investigating overpayments and researching other outstanding accounts for additional resource funding.
• Reconciles daily cash and verifies account balances.
• Compiles and distributes information regarding patients' personal, insurance and financial status. Provides appropriate forms to billing and other departments.
• Verifies insurance benefits assigned to the organization to determine if insurance coverage meets appropriate standards. Corresponds with patients to acquire required authorizations and assignments of benefits.
• Maintains the insurance master file and updates as necessary.
• Works with appropriate sources to coordinate precertification requirements with PROs, HMOs and other contractual third parties.
• Participates in department and office projects as assigned; makes proactive recommendations in updating department resources and reference materials.
• Serves as the department and office Point Person when assigned and consistently displays good judgment, decision making and independence in the role, functioning with limited guidance and supervision.
• Trains new staff and provides on-going support and instruction when staff become independent in role.
• Actively supports process flow improvement and provides constructive feedback to Supervisor.
• Resolves patient complaints in the absence of a supervisor.
• Serves as a resource and example to Level I staff by assisting with questions regarding registration, workflow, operations of the department and office, and other miscellaneous inquiries.
• Assist patients with self-registration and arrival tasks on Welcome Kiosks or on patients' personal devices.
• Receives payments from patients via the kiosk, manually when applicable, and issues receipts when requested.
• Works with the patient while investigating overpayments, researching or collecting outstanding account balances, payment plan options, and information on resource funding.

Common Expectations:

• Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, takes messages and directs calls.
• Prepares and maintains records of patient charges.
• Maintains department records, reports, files and census statistics as required.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Participates in educational programs and inservice meetings.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Provides outstanding service to all customers: Proactively approach and greet all guests with a warm and personal greeting.
• Fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• Less than 1 year 6 - 12 months (One year experience in current Access Operations Department) Required