Specialty Admissions & Medical Clinic Referral

Avera•Sioux Center, IA

19h•Onsite

About The Position

The Patient Access Representative is responsible for greeting incoming outpatient services patients and visitors, performing outpatient registration duties including entering pertinent patient information, explaining various registration forms, and verifying insurance eligibility for services while providing excellent care and service to patients, guests and fellow employees at all times. This position requires some independent judgment and a working knowledge of department procedures related to work performed to contribute to the efficient operation of the department. The Referral Representative is responsible for processing referrals made by providers by scheduling the appointments with the patient present following their clinic appointment or by gathering information from the patient and following up in a timely manner. This position schedules orders for radiology tests, physical therapy, and specialty clinics.

Requirements

High school diploma or general education degree (GED); or one or more years of related experience and/or training; or equivalent combination of education and experience preferred.

Nice To Haves

Bi-lingual experience preferred but not required.

Responsibilities

Answers incoming calls, screening as necessary, and transferring as requested.
Greets and directs employees, visitors, patients, business representatives and the general public arriving at the facility.
Provides general information regarding the facility and department functions and procedures.
Communicates with team members throughout various areas within the facility; use of telephone, mobile communication, computer and other office related equipment for this purpose.
Operates overhead page system.
Processes computer admissions and patient transfers within the facility, interviews patients or relatives regarding personal and insurance information; instructs patients and relatives of related policies and procedures; records and types patient and insurance information and obtains appropriate signature.
Ensures all the necessary consents and HIPAA forms are signed and completed.
Must be able to maintain strict confidentiality of patient information.
Preparation of appropriate paperwork for next day’s patient schedules. This may include pre-registration, insurance eligibility checks, gathering of appropriate forms for privacy, consent and signature and reminder phone calls.
Processes documents of straightforward nature requiring somewhat expanded knowledge of procedures; check documents for accuracy and completeness of specific entries; maintains files and records of documents processed for ready access; records data onto documents according to standard procedures related to work performed.
Notifies nursing staff of patient arrival and routes patient to waiting, testing or therapy areas and as necessary escorts the patient to the appropriate area.
Monitors patient waiting room to ensure timely communication occurs with the patient.
Responsible for Specialist schedule and maintenance of said schedules. This includes reminder phone calls, cancellations, rescheduling of patients, faxing of schedules, requesting of clinic data from outside facilities, and general maintenance to improve patient and specialist flow. In addition, will understand outreach provider preferences in regards to schedules, patient paperwork, and forms.
Obtains information from provider offices and patients for processing referrals in an accurate, timely and sequential manner
Works on Referral List to ensure referrals are completed and communicated to patients and provider office.
Assists with collection and sharing of records to facilitate referrals to specialists.
Assist with patients coming into the facility with referral questions.
Demonstrates technological knowledge and skills sufficient to integrate the use of health care technology and/or information management systems as it pertains to scheduling.
General clerical duties to include, but not limited to making copies, faxing documents, greeting, answering/ monitoring phones, making appointments, relaying messages.
Handling of patient orders from outreach providers including scanning into patient charts, registering for ancillary services, providing copies to appropriate areas: lab, therapy, radiology, etc.
Performs other duties and responsibilities as assigned.