What are the responsibilities and job description for the Direct Access Representative - Patient Access, FT position at Knox Community Hospital?
JOB SUMMARY:
Using a variety of the Hospital’s patient information related systems, assesses each case related concern and resolves issues with regards to appointments, financial matters and clearance for Radiology and other Outpatient services. Shares information with appropriate personnel, to ensure the smooth processing of patients’ appointments and information.
KNOWLEDGE AND SKILLS
- Able to work with minimal supervision
- Demonstrates effective verbal and written communication
- Successful completion of mandatory requirements including unit proficiencies
EQUIPMENT/TOOLS/SOFTWARE
- Knowledge and skill in computer software programs (Microsoft Word, Excel, PowerPoint, Outlook and Publisher) for reports, spreadsheets, presentations, communications and other documents.
- Copier/Fax/Printer/Scanner/Phone
- Hospital information system
PRIMARY JOB RESPONSIBILITIES
- Ensures procedures are scheduled for the required services including any necessary changes to appointments based on patient request.
- Resolves pre-certification, registration and case-related concerns prior to a patient’s appointment using necessary Hospital’s patient information systems.
- Gathers pertinent information from insurance carriers, financial counselors and other ancillary staff ensure services are billed appropriately.
- Communicates all exam prep information directly to the patient including directions and registration arrival times to the facility and imaging department.
- Resolves case-related concerns after a patient’s appointment.
- Provides primary customer relations role for system with all practices assigned.
- Uses database system to track referrals, patterns of business
- Discusses financial responsibility with the patient prior to their appointment.
- Uses Advocate to screen self-pay patients for the hospital financial program.
- Attends monthly staff meetings.
- Plans, develops and recommends policies and procedure changes as they relate to customer satisfaction and quality improvement.
- Demonstrates the knowledge and skills necessary to provide customer service appropriate to all age groups of patients served by the Hospital.
ADDITIONAL RESPONSIBILITIES
- Maintains confidentiality of employees, patients, and physicians in all matters related to the hospital and practice
- Promotes continuous quality improvement/customer service efforts
- Demonstrates compliance with all hospital-wide competencies
- Demonstrates initiative in personal/professional development
- Other duties as assigned.
EDUCATION AND WORK EXPERIENCE
- Requires 2-4 years of experience in the healthcare field or in a related area
- Requires experience assessing and solving customer problems by using excellent interpersonal, oral and written communication skills serving a variety of patients and physician practices.
- Must possess a working knowledge of commonly used healthcare concepts, practices and procedures with particular emphasis on Outpatient services.
- Requires experience in utilization of skills specifically related to conflict management.
- Requires the knowledge necessary to use multiple software systems within the Hospital including Paragon, Resource Scheduling, AHIQA and Relay Health.
- Requires demonstrated intermediate computer knowledge and the ability to utilize software applications such as Microsoft Excel, Microsoft Word and Internet Explore and additional software programs as implemented.
- High school diploma or equivalent