Access Service Representative-Patient Placement - Centralized PAS Support - Spectrum Center Blvd - Variable Shift - Part Time (0.6)

Sharp HealthCare•San Diego, CA

23h•Onsite

About The Position

This position will place patients via computer to assigned medical, surgical, cardiac, and critical care beds according to the Bed Protocol. Bed assignment will be communicated to the receiving and transferring floors/departments via computer system and telephone system. In an effort to provide complete customer satisfaction, this position should accurately listen and respond appropriately to requests from physicians, inter-departments, and peers. To ensure patients are assigned rooms in an expedient manner, this position will utilize all critical resources within the organization to expedite this process. This position must ensure all paperwork and computer entry is checked for accuracy and will continually enhance their knowledge regarding processes. This position should give high priority to customer service and complete customer satisfaction. This position will coordinate the successful transfer and placement of patients within the organization. This position must be able to adjust through a rapidly changing environment. This position will participate in personal and professional growth, development, and continuous improvement in all critical success factors of people, service, quality, financial, and growth.

Requirements

5 Years Hospital revenue cycle experience to include: admitting, pre billing, pre verification, or accounts receivable follow up
Medical terminology.
Insurances, billing and collections guideline/criteria.
Basic computer application experience.
Maintain an accurate typing speed of 35-40 wpm.
Organized and prioritize work activities.
Ability to communicate/discuss personal and financial matters with other healthcare workers i.e. physicians and nursing staff.
Document effectively and concisely.
Communicate effectively both verbally and in writing.
Function well in demanding/stressful environments.
Basic utilization management.

Nice To Haves

H.S. Diploma or Equivalent
Local, State, and Federal regulations governing registration/billing activities including JCAHO, Title XXII, Medicare and Medi-Cal regulations.
ICD-9, and CPT 4 coding experience
Certified Revenue Cycle Representative (CRCR) - HFMA
Centricity/ ADT,HPA, Cerner, On base, ECIN, Tele tracking, Transfer Center preferred.
Continuous use of computer, including reading and data entry, up to 90% of the shift.
Proficient in use of computers; Word and Excel skills preferred.

Responsibilities

Obtains and verifies patient demographic, visit, and financial information in a manner that facilitates departmental efficiencies, maximum financial reimbursement, and promotes premier customer service.
Place patients via computer to assigned medical, surgical, cardiac, and critical care beds according to the Bed Protocol.
Communicate bed assignment to the receiving and transferring floors/departments via computer system and telephone system.
Accurately listen and respond appropriately to requests from physicians, inter-departments, and peers.
Utilize all critical resources within the organization to expedite the patient placement process.
Ensure all paperwork and computer entry is checked for accuracy and continually enhance knowledge regarding processes.
Give high priority to customer service and complete customer satisfaction.
Coordinate the successful transfer and placement of patients within the organization.
Adjust through a rapidly changing environment.
Participate in personal and professional growth, development, and continuous improvement in all critical success factors of people, service, quality, financial, and growth.
Complete all functions required to process billing of all hospital visits by producing a prompt, clean bill drop 4-7 days post patient discharge.
Ensure all billings comply with Federal, State and local billing guidelines and criteria without exception.
Participate in the achievement of team billing goals through timely release of billable accounts and release of series bills.
Complete accurate demographic data, including validation or insurance benefits for each admission.
Complete accurate visit data including updating accurate attending physician, diagnosis and patient location.
Validate accurate orders in Cerner to ensure appropriate patient type and accommodation codes are selected.
Complete and accurate insurance selection to include the competition of follow-up questions, notifications are made to payors within 24 hours.
Document insurance/physician notification accurately in patient visit and updated in insurance follow up questions.
Update registration fields to ensure alerts are triggered on account to ensure that rep on site will follow up with patient.
Ensure medical record numbers are not duplicated.
Ensure there are no PHI breeches.
Screen accounts and make appropriate referrals to FC or On site staff for follow up on unfunded patients.
Screen all Medicare inpatient admissions for 72-hour outpatient overlap.
Comply with all rules and regulations governing Medicare and Medi-Cal billing.
Obtain all necessary attachments required for billing (i.e. hard copy authorizations, medical records. 18-1. 50-1. etc.).
Assure billing compliance standards are met.
Check for Medicare eligibility, MVP or insurance website for validate insurance coverage.
Review and release all necessary hold bills.
Ensure scheduled, direct admit patients are pre-verified and pre-authorized prior to hospital admission.
Ensure urgent admissions are verified and authorized immediately or upon next business day.
Work Hold Bills at the end of reach admission process to ensure all holds are released appropriately to support the low touch billing process of the revenue system.
Comply with all Local, State and Federal guidelines governing Department operations as well as all SDHA and Department memos, guidelines, policies and procedures.
Take responsibility for policy and procedure knowledge.
Accesses department references accordingly to assure compliance.
Receive and resolve incoming calls and instant notifications for the Centralized Patient Placement Center Department reflecting the Mission, Values and Philosophy of Sharp HealthCare.
Demonstrate exemplary customer service and conduct calls using scripting.
Accurately document the patient's visit in appropriate computer systems for all pertinent facts, information and resolutions.
Consistently follow all HIPAA requirements.
Demonstrate overall system knowledge by accurate use of computer systems.
Demonstrate a positive, caring attitude to all customers by providing prompt, courteous, and competent assistance in both personal and telephone interactions.
Greet all customers in a cheerful helpful, professional manner.
Strive to assure customer satisfaction with every encounter.
Assure proper handling of all written correspondence, physician orders, and/or electronic mail.
Address or resolve customer concerns, requests, billing questions or general inquiries personally, and not forward to leadership.
Advise management of all unusual, significant encounters.
Communicate regularly to the nursing units of prospective admissions.
Communicate effectively and professionally with the on-call physicians, Emergency room physicians and Case Managers when appropriate.
Contribute proportionately to Department production.
Offer to assist others and ask for assistance in completion of assignments, as needed.
Prioritize effectively, keep management informed of backlogs and promote a team approach in completion of job duties.
Use downtime productively.
Monitor all visits in TeleTracking for timely placement and accurate assignment of insurance and accommodation type.
Contact hospital departments such as Medical Records, Utilization Review, pre billing, financial counselors or external review organizations to resolve any billing or authorization delays.
Provide Team Leader and or manager with any account issues that were unresolved.
Accurately follow department guidelines, policies and procedures regarding patient placement, order validation and insurance verification.
Ensure that patients move efficiently through the systems appropriately and timely.
Collaborate with physicians, case managers and bed coordinators to ensure timely placement.
Ensure all notifications are completed on each shift worked and if unable to complete it’s communicated to the next shift.
Demonstrate efficiency, organizational and multitasking skills.
Work in a fast-paced environment with a positive attitude toward all professional contacts.
Use multi-line telephones and view multiple screens with multiple applications running.
Coordinate with other Patient access service departments, surgery, emergency, nursing units, and physicians to facilitate efficient bed placement.
Seek appropriate win/win solutions for conflict resolution.
Possess a positive attitude toward healthcare members and a diverse patient population.
Exhibit diplomacy, time management, and conflict resolution skills.
Demonstrate leadership skills.
Possess outstanding verbal, non-verbal, and written communication skills.
Possess a positive, caring, respectful, calm attitude.
Demonstrate ability to initiate, accept and adapt to change, flexibility.
Possess superior listening and negotiating skills and be able to handle situations with confidentiality, trust, and finesse.
Accept instruction, coaching and counseling in a positive productive manner.
Identify own need for skill development and pursue training opportunities.
Demonstrate teamwork and cooperation through positive and supportive communication regarding Department changes, goals, policies and procedures.
Promote a positive work environment by respecting others, being honest, fair, and consistent.
Take responsibility for Department morale, and involve management accordingly when issues that affect morale arise.
Ask necessary questions regarding new ideas or changes to facilitate a positive reaction and support for innovation.
Bring an uplifting, positive approach to work assignments.
Accept interpersonal differences and cooperate with other employees.
Accept responsibility for own actions, personal growth, and development.
Attend and participate in regularly scheduled staff meetings and training.
Assist team members with outstanding insurance notification and verifications related to patients that are being placed or transferred.