Outpatient Access Representative

University of Rochester•City of Rochester, NY

1d•Onsite

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. This role performs functions associated with patient information processing for ambulatory care visits. It involves completing tasks of reception, registration, charge reconciliation, appointment scheduling, eRecord task management, In Basket management, and Telephone encounter management using the electronic medical record and patient access and revenue cycle systems. The position ensures patient satisfaction with information processing and reception services, requiring accuracy to generate a billable service for the provider. Responsibilities include performing functions accurately, efficiently, and in a customer-friendly manner, and may involve acting as a resource to new staff.

Requirements

High School diploma and 1 year related experience in an administrative office or customer service field required or Completion of Vision Care 1,2,3 courses required Or equivalent combination of education and experience

Nice To Haves

Medical terminology experience preferred
Demonstrated ability to word process documents and enter data into a database preferred
Demonstrates the ICARE values to patient, families and staff preferred
Demonstrated skills related to achievement of customer satisfaction preferred
Ability to act as a resource to less experienced staff preferred

Responsibilities

Greets patients to initiate positive ambulatory experience, requests patient identification, ensures use of two identifiers to verify the correct patient, identifies healthcare provider to be seen, identifies referring provider and primary care physician, directs patients to next destination, obtains signatures as needed, identifies and assesses patients’ special needs, and monitors reception area to ensure patient needs are met.
Provides interaction of warm hand-off to registration and insurance management (RIM).
Updates patients regarding waiting time for the provider every 15 minutes.
Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations.
Ensures cleanliness and order in the waiting room/lobby.
Collects patient demographic and financial information in an efficient, customer-oriented manner.
Asks specific questions of patient to verify information accuracy to establish a billable account.
Enters information into electronic medical record (EMR) and patient access and revenue cycle system.
Requests patient e-mail address for confirmation purposes.
Ensures completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient identification to verify identity, provision of Financial Assistance Program, etc.
Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules and reports problems to Supervisor, pre-registers patients for next visit, coordinates appointments for ancillary testing or referrals to other clinic sites, follows-up missed appointments and cancellations, completes any correspondence or forms involved with appointment scheduling, schedules interpreters, schedules outside services to meet patient’s needs, and ensures patient satisfaction with visit prior to discharge from the area.
Prints After Visit Summary (AVS) at check-out when appropriate, uses two patient identifiers to ensure provision of the summary to the correct patient.
May assist with provider template changes.
Collects patient co-pays, prepares end of day deposits and reconciles any discrepancies.
Answers phone in a timely and courteous manner.
Manages incoming clinic calls and sorts calls to various providers.
Opens telephone encounter in EMR when speaking with patients.
Ensures routing of encounter in EMR to the appropriate staff/provider.
Coordinates outgoing calls related to major functions above.
Provides information to patients to minimize the need to distribute the telephone call, forwards calls, pages providers, and takes messages.
Edits and corrects registration errors and completes missing registration data.
Assists in charge reconciliation process.
Ensures accuracy of patient schedules.
Identifies ways to reduce follow-up, repetitive, or corrective work.
Manages multiple processes in EMR, including messaging in In Basket and referral work queue processing, which is part of the patient legal medical record, therefore, ensures accurate and concise information is entered.
Assesses the urgency of a situation and determines appropriate routing for the patient, serves as a resource for handling complaints, utilizes service recovery concepts, serves as front-line problem solver.
May escort patient into the treatment corridor, collects height and weight information, records list of current medication, records basic visit documentation, obtains vital signs, etc. Competencies must be verified by clinical staff before performance of any of these duties.
Other duties as assigned.