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Penn Medicine, University of Pennsylvania Health System · 1 month ago

Clinical Service Specialist(Part Time)

Columbia, PA

Part-time

Onsite

Entry Level

1+ years exp

Penn Medicine is dedicated to providing high-quality patient care, conducting innovative research, and educating future leaders in medicine. The Clinical Service Specialist role focuses on patient scheduling, registration, and coordination of services while assisting in the delivery of non-licensed patient care.

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Responsibilities

Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services

Capable of coordinating and communicating effectively during increased volumes or with complex patients

Assists with the delivery of direct, non-licensed patient care in accordance with established methods and procedures, under the supervision and guidance of appropriate personnel

Performs complete and accurate patient registration including but not limited to walk in, check-in, and or scheduled

Demonstrates ability to successfully adapt and perform during times of high volumes and or high patient acuity

Demonstrates skill to service both hospital and physician office patients, if necessary

Supports inbound and outbound calls to or from patients, guests, or appropriate parties as needed to provide services

Understands and supports Point of Service Collections

Performs all necessary functions needed to collect patient obligations

Refers patient to appropriate person for questions regarding; collections, insurance coverage, and financial assistance

Disseminates or discusses information with the patients regarding co-pays, out of pocket expenses, pre-appointment preparation, arrival times, etc

Verifies patient, guarantor, coverage and hospital account information

Performs required referral authorization processes and enters orders for applicable tests

Understands insurance company coverage and referral authorization requirements of payors

Performs electronic and manual verification of insurance coverage and understands how to read and accurately apply electronic insurance responses

Prepares and or releases records or orders in the e-Health record

Scans all necessary documents into appropriate medical record

Understands the importance of patient’s medical information that is documented on paper

Sends all pertinent information to document imaging or heath information management team with in the established time frames

Completes documentation for compliance and regulatory needs and or release of orders

Retains knowledge and abides by all regulatory requirements pertaining to duties of position and overall operation of the Hospital as applicable

Screens and accurately relays messages using protocols established for emergent, urgent and non-urgent calls

Demonstrates ability to register unscheduled patients requiring a full financial clearance

Completes assigned patient scheduling and registration work queues according to performance standards

Ability to resolve work queue issues and missing registration items via electronic medical record

Completes cleaning tasks utilizing OSHA standards

Performs maintenance and or inventory of equipment and supplies according to unit department standards

Maintains appearance of patient care and public areas

Orders, stocks and distributes supplies to meet the needs of the unit department

Aware of cost containment practices and able to access need for changes in utilization

Greets and escorts patient and visitors to and from clinic exam room and prepares patient for visit with provider

Initiates patient visit follows up after visit when appropriate within scope and competency; following established standards

Prepares and assists provider with various procedures within scope and competency; following established guidelines

Maintains clinical skills necessary to perform duty job

Performs clinical functions as required, including any of the following: Phlebotomy, Pain Management, EKG’s, Holter Monitors, 24 hour Blood Pressure Monitoring, and Point of Care Testing if needed based on departmental needs

May require regular travel to various sites within the region to support operational needs as listed above

Other duties as assigned

Qualification

EpicEquivalent EMRPatient registrationInsurance verificationPoint of service collectionsRevenue cycle experienceCustomer serviceClerical skillsAttention to detailProblem solvingCommunication skills

Required

High school diploma or equivalent

Completion of educational requirements additional formal education training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training

One 1 year prior experience of Revenue Cycle in a Hospital Medical Office Setting AND OR one 1 year administrative data entry experience in a medical facility, health insurance or business setting

One 1 year of clerical, customer service, or administrative support experience in a highly customer-oriented organization

One 1 year experience with basic keyboarding, personal computer use, and other office setting equipment

A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program

One 1 year of Epic or equivalent Electronic Medical Record experience

One 1 year of registration experience, point of service collection, insurance validation, understanding of compliance regulatory guidelines and order release processes

Epic or equivalent Electronic Medical Record experience

ATTENTION CONCENTRATION - The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others: The position requires the ability to attend to a specific stimulus without being distracted by extraneous environmental stimuli. The individual must be able to attend to environmental detail with the ability to separate essential from non-essential or irrelevant stimuli. The attention skills required are generally considered to be automatic - - passive, but focused with an intact capacity for select perception

NEW LEARNING AND MEMORY - The following level of ability is essential for the jobholder to learn and retain material: A large portion of this position required reliance on verbal memory and new learning. Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job. The individual must be able to attend to and process multiple bits of information simultaneously. The individual must be able to organize and categorize this information effectively so that later recall is feasible

PROBLEM SOLVING, REASONING AND CREATIVE THINKING - The following level of ability that is essential for the jobholder to think in order to solve a problem by combining two or more elements from past experience or imaginative thought: The requirement for autonomous problem solving or creativity of thought in the position is minimal. Problems encountered tend to involve a few concrete variables in or from standardized situations. Typically involves adhering to a chart or set procedure

The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act: Repetitive work: Ability to continuously perform the same type of work for extended periods of time, according to set procedures, sequence or pace

Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations

Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others

Benefits

Comprehensive compensation and benefits program

Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees