Patient Access Representative

Cleveland Area Hospital•Cleveland, OK

just now•Onsite

About The Position

POSITION SUMMARY: Responsible for the registration of all patients accessing services at Cleveland Area Hospital with emphasis on patient access/satisfaction, insurance/demographic verification, obtaining authorizations/precertification for services, and point of service collections, while maintaining accuracy, confidentiality, professionalism, and patient privacy continuously. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function · Are you passionate about patient care? · Would you enjoy being an integral part of a team on the verge of new hospital construction? · Are you motivated by ongoing improvement and an opportunity to make a measurable impact on rural healthcare in Oklahoma? CLEVELAND AREA HOSPITAL is an independent, self-managed Critical Access Hospital, half an hour west of Tulsa, Oklahoma. As the only hospital in Pawnee County, we are constantly striving to provide the highest level of care by continuously growing and updating our services and equipment. Our facilities include a Level IV Trauma Center/ER, Skilled Nursing/Swing Bed program, Respiratory Therapy, CT, 3D Mammography, a fully equipped Outpatient Rehabilitation Center, 24/7 Lab, and a Primary Care Clinic. The organization is a Regional Healthcare Provider in its 10th year of consistent leadership. Continuing the spirit of growth, healing, and service-driven healthcare established when the hospital first opened in 1963, Cleveland Area Hospital is on track to build a new facility, expand our services, and better serve our patients and communities.

Requirements

High School diploma required.
Must possess excellent communication and organizational skills.
Working knowledge of computer-based applications and strong PC/keyboard skills are a must.
Detail-oriented, able to organize paperwork and flow of patients through the registration process while maintaining a professional image.
Must be customer service-driven.
1-2 years of experience in the medical field, hospital, or a physician's office.

Responsibilities

Adhere to all policies of the organization, including (but not limited to) job description, certification/licensure requirements, mission statement, HIPAA, confidentiality standard, and patients’ rights.
Make a positive contribution to the organization’s culture and stay up to date on its communications and directives.
Greets all patients and guests and assists with access to hospital services and ancillary departments.
Properly identifies patients to register encounters in the EMR system to ensure timely and accurate reporting/billing.
Demonstrates streamlined processes to maintain safety and quality through accurate patient identification, validates/updates Master Patient Index (MPI) according to departmental policy, protects personal health information, and accurately interprets physician orders, as evidenced by quality audits and reviews.
Responsible for the distribution of patient-related materials to ancillary departments.
Obtain the patient's or designee’s signature on all necessary documents.
Obtain and verify insurance eligibility through various systems.
Identify and collect copay, deductible, coinsurance, or any monies owed for services.
Check in visitors and vendors to ensure that patient safety standards are met.
Complete required Medicare forms and questionnaires with patients or legal designee.
Adheres to HIPAA and EMTALA guidelines.
Verifies required information on the physician’s orders.
Obtains ICD10 and CPT codes to verify Medical Necessity to ensure reimbursement from CMS.
Functions as primary Switchboard Operator while maintaining registration standards.
Acquires authorization/precertification for applicable services.
Coordinates with daily schedules and schedulers to maximize registration time for pre-registered services.
Audit accounts for errors before each shift ends.
Complies with infection control guidelines by practicing proper hand washing, cleaning of Patient Access areas, and documenting in SQSS.
May be responsible for daily deposit preparation.
Supply order and stocking.
Attend required department meetings.
Attend required educational, compliance, and safety program sessions.
Complete the required educational SWANK assignments.
Assist with training when required.
Adheres to department dress code policy.
Assists patients entering and exiting the facility.
Maintains a clean, well-organized work area
Other duties as assigned.
Note: The Patient Access Department provides patient care 24/7. To provide the highest quality care to our patients, individuals may be required to work beyond normal scheduled shifts and to comply with Cleveland Area Hospital’s attendance policy. This includes holidays and inclement weather. Employees are expected to arrive at their positions in uniform and using the hospital time system, and be clocked in promptly at the beginning of their shift.