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Oswego Health · 2 weeks ago

Patient Access Rep PT Flex- Multiple Access Locations ED Primary

Oswego, NY

Part-time

Onsite

Entry Level

$17/hr - $20/hr

1+ years exp

Oswego Health is a nonprofit healthcare system established in 1881, providing accessible, quality care to residents throughout Oswego County. The Patient Access Representative is responsible for communicating with patients and healthcare staff to obtain demographic and insurance information, performing registration procedures, and ensuring compliance with financial policies and documentation requirements.

Health CareHospitalMedicalRehabilitationTherapeutics

Responsibilities

Assist with training new orientee’s and new process updates

Strong positive working relations with the entire department to include provider, nursing, tech support, and applicable ancillary team members and positive working relations with entire patient access registration team, will be closely working with all ED team members based on schedule so working relations will highly impact the department in its entirety

Strong communication with the Department Manager and Director regarding reportable events

Communicate with patients and families to provide information, guidance and assistance to patients as well as resolve customer complaints

Communicate with physician’s office staff, other members of health care team, and co-workers to ensure the flow of accurate and timely information, maintain collaborative relationships, and promote excellent customer service and quality patient care

Perform third party verification and payer eligibility requirements with knowledge of payer requirements, including No Fault and Workers Compensation Claims

Initiate service authorizations for services requested from practitioners. Record pertinent data for B/AR and Case Management use

Complete daily/weekly/monthly tasks including, but not limited to financial support activities and designated department/organization competencies

Complete forms using medical terminology, seeking assistance or using resources, when necessary, to ensure accurate documentation of patient visit complaints and admission diagnosis descriptions

Follow physician entry procedures, including but not limited to, Doctor Other, multiple locations, and address changes

Interview patient and/or guarantor to obtain and process accurate and complete patient information. Obtain appropriate signatures on required forms

Scan required patient information, insurance and state ID cards, Advanced Directives, and other registration forms; receive notices of service requisitions from providers; record pertinent data for claims submission

Provide patients with all required notices, including but not limited to, HIPAA, Health Care Proxy, and Patient Bill of Rights

Complete and process forms, including but not limited to, Medicare questionnaire and service authorizations

Perform inpatient and outpatient, scheduled and pre-registered registrations; Discharge patients when needed

Collect cash, credit card or other forms of payments; perform discounts as appropriate. Open and close cashiering windows and balance payments

Respond by procedural resources to emergency panels and emergency calls

Demonstrate knowledge of all emergency codes and safety measures

Complete all competencies for the scheduled or covered area

Process incoming and outgoing mail per policy and instruction

Respond to administrative calls and/or complaints

Operate Switchboard by taking incoming calls and transferring calls, maintaining positive tone

Maintain operator logs

Review orders/requisitions and diagnosis to ensure compliance and legality of order. Perform quality measures including correct diagnosis code, correct scheduled study, authorization requirements, provider entry, and other forms of quality procedures

Perform electronic ordering registration procedures, including courier procedures

Correctly identify patient scheduled appointments, visits and other patient types

Perform downtime procedures according to policy and procedure

Ensure accurate registration and compliance using all resources and education provided

Maintain knowledge of emergency codes and safety measures

Maintain knowledge of direct and transferred admissions as well as outpatient registration procedures

Ensures all work areas are adequately stocked with supplies to provide quality services

Perform other duties as assigned

Qualification

Patient registration proceduresInsurance verificationMedical terminologyCustomer service experienceData entry skillsProfessionalismMulti-tasking abilityInterpersonal skillsCommunication skillsDetail oriented

Required

Able to work independently for partial shifts

Strong knowledge of all hospital OP and inpatient registration to include health service center and surgery registration, ED registration/procedures and Switchboard functions

High competency scoring for all impacted registration areas

Skilled in PC/CRT data entry; proficient in standard computer programs, including Microsoft Office Suite, and EMR

Excellent service-oriented interpersonal skills; strong active listening ability

Excellent written and verbal communication skills

Ability to productively multi-task while working with intermittent interruptions and deadlines; detail oriented

Professionalism and business acumen appropriate for working with physicians, patients, and support staff

High school diploma or GED

Clerical and computer knowledge, including data entry, and ability to type 35 WPM

Experience in customer service with strong communication skill

Strong Flexibility for scheduled shifts

Shifts may change weekly/bi-weekly between day/evening and occasional nights. May be subject to work 10 hour shifts

Work every other weekend, every other holiday

Requires remaining current with all Patient Access implementations and education, and emails

Must be able to work alternate weekends and holidays with rotating shifts

Position requires working as needed at any of the Patient Access sites including: Switchboard, and other potential hospital cross training needs in other Access Departments and facilities

Requires extended periods of sitting and using computers and standard office equipment including, but not limited to phones, fax machines, printers, and scanners

Requires periods of standing and registering patients in the patient care area

Requires use of computer software including, but not limited to, Meditech, Clockwise, Insurance web sites, electronic eligibility and electronic ordering system

Attendance ensures that job requirements are met

Ability to perform light lifting (up to 15 pounds) using proper body mechanics

Occasionally requires assembling, using, checking and maintaining equipment

Actively participates in cross-training, Quality Assessment programs, CQI, in-service programs, and mandatory classes; completes department specific requirements/competencies

Complies with DOH requirements for annual health assessments and required immunizations