POSITION SUMMARY
Under the direction of the HIM Director or Designee, the Patient
Access Representative is responsible to facilitate the patient registration
flow, including such activities as point of service patient identification;
gathering demographic information; securing financial, third-party, and
sponsorship data; obtaining required signatures and documents needed for
compliance and appropriately collecting co-payment and reconciling cash. The Patient Access Clerk admits patients by
gathering and recording physician, patient, and payment responsibility
information; answering questions; providing hospital and hospital services
information. Attends
to telephone inquiries from patients, Case Managers, Physicians, Social Workers
and outside agencies. Processes financial clearance prior to admissions by
contacting insurance carrier, thereby assuring payment before patients are
admitted. Assists in maintaining the Admissions Department on a daily
basis.
POSITION QUALIFICATIONS
High
school graduate or equivalent, and one (1) year customer service experience
preferred in a Healthcare setting. Insurance verification experience and/or
registration is preferred. Must possess good oral, written and interpersonal
communication skills.
Other
desired qualifications:
- Demonstrates
ability to consistently achieve a high level of accuracy and attention to
detail
- Demonstrates
perseverance, concentration, resourcefulness and good reasoning ability
- Demonstrates
ability to cope with interruptions, remember pertinent guidelines, policies and
procedures
- Ability
to organize and prioritize work
- Ability
to work as a team member
- Some
knowledge of office computer software packages, including spreadsheets and word
processing
- Enhances organization reputation by accepting ownership for
accomplishing new and different requests; exploring opportunities to add value
to job accomplishments.
JOB RESPONSIBILITIES:
- Pre-admits
patients by receiving bookings from referring facilities and or physicians;
confirming admitting privileges of physicians; interviewing patients; entering
patient information to pre-admissions database.
- Provides
patients with information by explaining hospital admission policies and forms, time
of admission, room selection, TV, visiting hours, telephone availability, cell
phone restrictions, answering inquiries.
- Secures
payments by screening insurance information; identifying patients requiring
pre-admission approvals from third-party payers; verifying approvals; notifying
patient accounts department of self-paying admissions.
- May
prepare admission folders by gathering admission paperwork for scheduled
patients.
- Greets
and receives patients to be admitted by conducting personal interviews;
entering demographic and insurance information; confirming pre-admission
information; obtaining signatures on legal consents and insurance forms;
receiving payment and issuing receipts; distributing patient information
literature.
- Verifies
patient identify by checking identification; preparing and placing
identification band on patient.* Ensures patient's arrival to hospital room and
or testing area by assigning patient beds; notifying nursing unit of patient's
arrival; calling volunteer to transport the patient to the assigned area.
- Provides
information to the public by answering admitting procedure, hospital regulation
and service inquiries of patients and the public, referring inquiries.
- Serves
and protects the hospital community by adhering to professional standards,
hospital policies and procedures, federal, state, and local requirements, and DNV
standards.
- Accomplishes individual and team goals and
objectives established by supervisor based on prior performance
evaluation.
- Consistently
demonstrates commitment to customer service excellence in all interactions with
patients, family members, visitors and other staff that are consistent with the
Customer Service performance standards.
- Continually
participates in building and maintaining positive working relationships through
effective communication, performance improvement and teamwork efforts.
- Demonstrates
the ability to clearly and effectively communicate (to include reading,
writing, and speaking) to all patients, family members, visitors and other
staff members with the expectation that each employee, within the context of
their specific job duties, can read, interpret, understand, and communicate
clearly and effectively in order to ensure proper understanding, all
written/verbal communication are followed and information is shared
appropriately.
- Accomplishes
admissions and hospital mission by completing related results as needed.
- Maintain updated bed ability and enters patient admitting information on to Daily Census and
routes printed copy to clinical
departments via fax and Share Point.
- Maintain a professional appearance as outlined in the Coalinga
Regional Medical Center Appearance Policy and project
a business -like decorum at all times with patients, visitors, physicians, clinical
staff and team.
- Alerts necessary
departments of admission
and any special requirements via fax, Share Point and electronic health record.
- May
assist in obtaining signatures for
consents, etc.
- Answer phones : emails
and perform any other duties
pertaining to the Admissions Department.
