Patient Access Representative - Full-time - AVALA Hospital RH74

Company: Avala
Location: Covington
Posted on: May 25, 2023

Job Description:

Summary

Under the supervision of the Chief Operating Officer, he/she isresponsible for obtaining accurate patient demographics and insuranceinformation during the patient interview process; the process includesin-person, and phone interviews, corrects information as needed. Processes theregistration including obtaining the patients signature on the Authorizationfor Treatment, Advanced Beneficiary Notice (ABN) and completing the MedicareSecondary Payer (MSP) questionnaire. Collects co-payments, estimatedco-insurance and deductibles, which includes phone calls to patients to discussfinancial responsibility prior to service as well as collecting at time ofservice. Answers incoming phone calls and assist caller as needed. And anyother duties assigned by the Chief Operating Officer.

Essential Duties and Responsibilities

Registration FrontDesk

• Able to handle heavy phone volumes, ensures thatcallers are transferred to the appropriate department and/or person. Answerscalls in a timely manner; identifies department and self when answering thetelephone. Able to handle all codes and stat calls proficiently.
• Verifies that patient demographic information isaccurate and ensures that insurance cards, consents and other admissiondocuments are complete and in order.
• Ability to explain required forms to the patientin detail (i.e.: Authorization for Treatment, Advanced Beneficiary Notice(ABN), Medicare Secondary Payer (MSP) questionnaire). Obtains requiredsignatures as needed.
• As part of the pre-registration process,contacts patient to verify demographic information, insurance information, andMSP questionnaire.
• Informs patients of estimated balance due andcollects monies due at time of service.
• Assist with chart preparation, ensuring that allpackets are accurate; forwards charts to ENDO and/or other nursing personnel atleast 3 days in advance of scheduled procedure.
• Demonstrates knowledge of all features andfunctions of the Cerner Patient Accounting areas.
• Notifies appropriate staff regarding any issuesor concerns in a timely manner.
• Balances daily receipts list to cash, checks,and credit card payments received at the end of each day. Other Duties
  • Other duties as assigned. Core Competencies
    
    ActionOrientation - Targets and achieves results, overcomes obstacles, acceptsresponsibility, establishes standards and responsibilities, creates aresults-oriented environment, and follows through on actions.
    
    Communications- Communicates well both verbally and in writing. Effectively conveys andshares information and ideas with others. Listens carefully and understandsvarious viewpoints. Presents ideas clearly and concisely and understands relevantdetail in presented information.
    
    Creativity/Innovation- Generates novel ideas and develops or improves existing and new systems thatchallenge the status quo, takes risks, and encourages innovation.
    
    CriticalJudgment - Possesses the ability to define issues and focus on achievingworkable solutions. Consistently does the right thing by performing withreliability.
    
    CustomerOrientation - Listens to customers, builds customer confidence, increasescustomer satisfaction, ensures commitments are met, sets appropriate customerexpectations, and responds to customer needs.
    
    InterpersonalSkills - Effectively and productively engages with others and establishestrust, credibility, and confidence with others.
    
    Leadership- Motivates, empowers, inspires, collaborates with, and encourages others.Builds consensus when appropriate. Focuses team members on common goals.
    
    Teamwork - Knows when and how to attract, develop, reward, andutilize teams to optimize results. Acts to build trust, inspire enthusiasm,encourage others, and help resolve conflicts and develop consensus in creatinghigh-performance teams.
    
    Professional Requirements
    • Meets dress code standards and adheres topolicies.
    • Completes annual education requirements.
    • Maintains regulatory requirements.
    • Maintains patient confidentiality at all times.
    • Reports to work on time and as scheduled,completes work within the designated time.
    • Wears identification while on duty, usescomputerized punch time system correctly.
    • Completes in-services and returns in a timelyfashion.
    • Attends annual review and departmentin-services, as scheduled.
    • Attends staff meetings annually or reads andreturns all monthly staff meeting minutes.
    • Represents the organization in a positive andprofessional manner.
    • Actively participates in performance improvementand continuous quality improvement (CQI) activities.
    • Complies with all organizational policiesregarding ethical business practices.
    • Communicates the mission, ethics and goals ofthe hospital, as well as the focus statement of the department.
    • Assists other staff members in performing anyduty that enhances the delivery of patient care. Regulatory Requirements
      • Highschool diploma.
      • Two (2) or more years' experience. Skills
        • Ability to communicate effectively in English,both verbally and in writing.
        • Basic computer knowledge.
          Physical Demands
          
          The physicaldemands described here are representative of those that must be met by anemployee to successfully perform the essential functions of this job. Whileperforming the duties of this job, the employee is regularly required to talkand hear. This position is very active and requires repetitive motions, standing,walking, bending, kneeling, and stooping all day. The employee must frequentlylift or move items weighing up to 20 pounds.
          
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Keywords: Avala, New Orleans , Patient Access Representative - Full-time - AVALA Hospital RH74, Healthcare , Covington, Louisiana