Patient Access Service Re

Wyckoff Heights Medical Center

35d

About The Position

Front-line Revenue Cycle Team member of the WHMC. Under normal supervision is generally responsible for the efficient and orderly processing of scheduled cases, reservations and or registrations of Emergency Department/ Ambulatory Surgery / Pre-Testing / Clinic / Referred Ambulatory / Recurring Visit ane/or Inpatient patients. performs clerical duties necessary to encourage patient throughput and access to medical care while providing and securing financial information necessary for revenue generation. This may include but is not limited to obtaining and recording patient demographics, contacts insurance information, notifications and precertifications.

Requirements

Must type minimum of 40 word per minute.
Multitasking necessary, resonable destractions so as to cause stress.
Ability to prioritize and reprioritize as additional tasks develop or are assigned.
Able to work well with a team and independently.
Previous front-line medical office, billing, or hospital registration experience or skills are must.
Knowledge Insurance verification process for HMO, MCR, MCD, BC, WC, NF , liability and traditional indemnity third party billing and payers is a must.
Mature, accountable and punctual: reports to work promptly as schedule.
Incorporates professionalism, sensitivity to cultural and linguistic diversity, and makes use of customer service and satisfaction skills in every transaction conducted.
Collaborates with and is courteous and respectful to all WHMC staff, patients, physicians, nurses, other clinical staff and WHMC associates
Flexible and able to process and complete either Elective, Amb Surg, Urgent Emergency patient admissions/registrations and performs all related duties as established in departmental policy and procedures.
This position requires a minimum formal education of High School Diploma or equivalent and a minimum of 1 year job-related experience.

Nice To Haves

Use of computers for data enty a plus.
Takes initiative and is proactive when servicing customers.
Knowledge of Medical Terminology.
Good office skills.
Professional appearance and pleasant personality.
Congenial manner - ability to deal with/assist persons under stress.
Good telephone personality/manner.

Responsibilities

Obtaining and recording patient demographics, contacts insurance information, notifications and precertifications.
Electronically checks any and all electronic and web verification resources to enable the PASR to identify if any accounts registered as Self-Pay have insurance.
Ensures that patients are made aware of hospital policies and procedures, including those regarding financial oblications, co-payments and deposits, personal items and visitation rights.
Offers patients that remain "true" Self-Pay a Medicaid Document List and refers those patients to the on-site Medicaid Office if Inpatient and Off-site Medicaid if Outpatient.
Interviews patients/patients' representatives in person, at bedside, or by phone to obtain necessary demographic and financial/insurance information for each admission/registration; maintains patient confidentiality at all times.
Obtains Verification, provides necessary insurance notification, obtains precertification and authorizations for Commercial,MCD, MCR, BC, HMO, Champus, MCDPCPs, MCRHMOs, NoFault, and Workmer's Compensation.
Verifies benefit eligibility & Auth requirements, via tel, fax, Web & Electronic Verification tools.
Courteously answers telephone calls and responds to inquiries and/or requests in accordance with established policy and procedures.
Accepts reservations for Direct Inpatient Admissions and Ambulatory Surgery procedures as requested by the Attending Physicians or their respective designees and ensures the completion of reservation forms.
Translates verbal or written diagnosis and procedures into appropriate ICD-9 or CPT code in order to obtain authorization.
Appropriately, Schedules, Pre-Admits, or Admits patients as per established policy.
Records advanced directive status of patients and collects, charts and files Advanced Directives.
Collects patient Discharge Notice Slips.
Assigns beds in accordance with established bed priority, uses bed tracking and census tools to expedite processing of decisions to admit.
Coordinates and documents intra-hospital patient room transfers in collaboration with the Nursing Staff and in accordance with priorities established in departmental policy and procedure
Assigns patients to a hospital room and bed, based on sex, diagnosis, age, current patient census and in accordance with guidelines and priorities established in departmental policy and procedures.
Obtains patient signatures authorizing treatment, assignment of benefits release of information and acknowledging receipt of patient packages.
Where appropriate, assists families, Funeral Homes and Coroner's Office regarding inquiries anddocumentation in the preparation of death Certificates.
Where appropriate, Birth RegistryPASRs Only:Accurately & Timely processes Birth Worksheets, Birth Certificates and obtains signatures from MDs.
Where Appropiate, Birth Reg Only: Accurately and Timely Processes Spontaneous Termination of Pregnancy, may request Medical Records.
Where Appropriate, Birth Reg Only: Conducts daily L&D and Maternity Unit walk throughs to interview patients.
Where appropriate, Financial Follow-up PASRs: Review and accurately update or revise facesheets and patient information to ensure notifications,verifications and authorizations are secured.
Where appropriate, Financial Follow-up PASRs: Timely Report changes to Patient information to Utilization Management, Medicaid Office and other Hospital Associates as necessry.
Where appropriate, PST PASRs: Promptly Prepare Testing Requistions affixing Labels as necessary.
Performs all other duties as required.