Outpatient Registration/Customer Service Rep

Kaweah Delta Health Care District•Hanford, CA

34d•$20 - $30

About The Position

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7645 SRCC Rad Onc-Hanford Ensures high quality work for non-clinical duties and patient care services with emphasis of excellence service to customers.

Requirements

High School Diploma or equivalent
Minimum of one year Patient Access, data input, medical terminology, transcription, customer service, medical records and/or billing/coding experience
Excellent communication skills, data input skills

Nice To Haves

College courses
Insurance benefits and medical terminology experience is helpful
Spanish speaking helpful

Responsibilities

Answers department phones timely and professionally.
Assists customers timely with patient access concerns.
Routes calls as appropriate to other staff or location.
Must be accountable for the QA for own work.
Utilizes all computer programs and procedures to ensure accuracy.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Provides patient with privacy Notice for HIPAA requirements.
Obtains appropriate signature and documents accurately in the system as required for compliance.
Ensures that all efforts provide value and meets the needs of departmental customers.
Answers all inquiries from both internal and external customers in a timely manner.
Inquiries are via telephone, email, fax and in person.
Always finds a way to be productive during slow times.
Displays proficiency in applicable programs.
Thoroughly documents activity.
Assures that documents are appropriately identified to be scanned into EMR.
Accurately completes the admission, registration or pre-registration of a patient presenting for services.
Obtains Advanced Directives for Medical Records.
Provides patient with written material as required by State and Federal Law.
Obtains signatures necessary including but not limited to HIPAA, COA, etc.
Properly identifies correct patient and affixes an armband/label for positive identification of patient.
Works with physicians’ offices to obtain orders and assists in obtaining authorization.
Understands Medicare coding, diagnosis codes, CPT codes to assure proper billing and use of ABN in order to provide as necessary to patient.
Accurately completes pre-registration for patient presenting for services.
Contacts patient when necessary to obtain any additional information needed to complete pre-registration prior to scheduled services.
Contacts patient one business day prior to scheduled service to confirm appointment.
Explains to patient any special preparations required for service being performed. 9Pre-registers patient for their procedures as needed and verifies their insurance coverage either online or by phone.
Obtains all necessary information from physician’s office to schedule and provide services to the patient.
Information needed includes but is not limited to patient chart information, labs and proper reason for exam.
Demographic information for patient as well as insurance information must also be obtained.
Schedules all procedures for patients in a timely manner and follows office policy.
Accurately enters information about each procedure into the scheduling system including any special information about the patient, i.e. allergies, wheelchair, translator etc.
Obtains necessary release signatures for any PHI.
Assures that documents are appropriately identified prior to being scanned into the patients EMR.
Checks in patients, verifies and updates necessary information in the EMR and computer systems.
Checks daily billing/coding of outpatient records by creating a daily report from Soarian Analytics.
May assist with daily billing and coding of outpatient records.
May assist with export of billing charges from radiation oncology EMR to billing system.
Ensures accuracy completion and timeliness of billing processes on a daily basis.
Responsible for notifying the Director or Manager of errors and omissions.
Acts as a liaison/Financial Counselor between patient and SRCC departments obtaining and giving appropriate information to assure payment.
Documents all information and action taken maintaining information according to policy.
For every new patient referred to the Radiation Oncology department: Maintains Electronic charts for all patients.
Performs other needed duties to help facilitate any function of the New Patient Consultations.
Assists in case finding and abstracting tasks.
Shows willingness, approachability and a team approach to the work environment.
Maintains confidentiality and security of patient data.
Keeps all filing current.
Provides clerical support as assigned, customer service, special reports or studies.
Modifies orders in the system and cancels exams appropriately, including documenting reasons in Radiology Information System (RIS).
Notifies appropriate personnel upon rescheduling or canceling exam.
Checks in patients, verifies and updates necessary information in the medical record.
Verifies accurate patient information by checking ID, demographics, insurance and referral.
Obtains necessary signatures on release of information for any records.
Assures that documents are appropriately identified prior to being scanned into the applicable imaging system.
Obtains copies of ordinal films as needed.
Chooses and sends appropriate digital images from Synapse to the laser printer or CE burner as necessary.
Accurately prepares/complies x-ray reports and/or copies images requested for hospital staff, physicians, patients and outside sources.
Complies images for pick up, mail/IPS/Federal Express or courier as requested.
Maintains/updates current status log book for records associated with litigation, attorneys workers compensation, court subpoenas, insurance companies, tumor board cases and clinic cases.
Pulls old records from archives as necessary to combine with current studies.
Assists physicians in obtaining images from Synapse.
Prints and faxes reports to physicians offices as needed.
May be responsible for reading the report to the physician as necessary.
Shows proficiency in the following programs; Soarian scheduling, Synapse PenRad, KDHUB, DM Viewer, RADNET, Millennium and Microsoft Outlook.
Answers department phones timely, and professionally.
Assists customer timely with Imaging Service concerns.
Routes calls as appropriate to staff or location.
Ends conversations with “Is there anything else I can do for you?”
Alerts personnel of transferred calls explaining who is on the phone and reason for the call so caller does not need to repeat themselves.
Communicates ad on exams to specific areas, including patient access, centralized scheduling and front desk.
Develops skills necessary to communicate clearly with radiologist, technologist and office staff when needed to help resolve imaging report concerns.
Copies and pastes reports from PenRad to Synapse.
Knowledgeable in the use of template reports while still checking for accuracy against dictation.
Addresses, faxes and mails mammography letters daily.
Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
Performs other duties as assigned.