Patient Access Service Re

Wyckoff Heights Medical Center•, NY

77d•Onsite

About The Position

This role is a front-line Revenue Cycle Team member responsible for the efficient and orderly processing of scheduled cases, reservations, and/or registrations for various patient types including Emergency Department, Ambulatory Surgery, Pre-Testing, Clinic, Referred Ambulatory, Recurring Visits, and Inpatient patients. The position performs clerical duties to facilitate patient throughput and access to medical care, while also obtaining and securing necessary financial information for revenue generation. This includes collecting patient demographics, contact information, insurance details, and handling notifications and precertification.

Requirements

Type a minimum of 40 words per minute.
Previous front-line medical office, billing, or hospital registration experience or skills.
Knowledge of the insurance verification process for HMO, MCR, MCD, BC, WC, NF, liability, and traditional indemnity third-party billing and payers.
Mature, accountable, and punctual.
Ability to incorporate professionalism, sensitivity to cultural and linguistic diversity, and customer service skills.
Ability to take initiative and be proactive when servicing customers.
Ability to collaborate with, be courteous, and respectful to all staff, patients, physicians, nurses, and other clinical staff.
Flexible and able to process and complete Elective, Amb Surg, Urgent Emergency patient admissions/registrations.
High School Diploma or equivalent.
Minimum of 1 year job-related experience.

Nice To Haves

Use of computers for data entry.
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

Obtain and record patient demographics, contact information, and insurance details.
Perform notifications and precertification for patients.
Verify insurance information using electronic and web verification resources.
Inform patients about hospital policies, financial obligations, co-payments, deposits, personal items, and visitation rights.
Offer Medicaid Document List to self-pay patients and refer them to the Medicaid Office.
Interview patients or their representatives to gather demographic and financial/insurance information.
Maintain patient confidentiality at all times.
Obtain verification, provide insurance notification, and secure precertification and authorizations for various insurance types.
Verify benefit eligibility and authorization requirements via telephone, fax, web, and electronic verification tools.
Contact employers to obtain Workers' Compensation or No Fault information.
Answer telephone calls, respond to inquiries, and route calls or take messages.
Accept reservations for Direct Inpatient Admissions and Ambulatory Surgery procedures.
Translate verbal or written diagnoses and procedures into appropriate ICD-9 or CPT codes for authorization.
Schedule, pre-admit, or admit patients according to policy, entering necessary comments and collection notes.
Record advanced directive status of patients, collect, chart, and file Advanced Directives.
Collect patient Discharge Notice Slips and promptly enter discharges in the computer system.
Assign beds in accordance with established bed priority and use bed tracking and census tools.
Coordinate and document intra-hospital patient room transfers.
Assign patients to a hospital room and bed based on established guidelines and priorities.
Obtain patient signatures authorizing treatment, assignment of benefits, and release of information.
Prepare initial Medical Record Chart, identification bands, and labels.
Assist families, Funeral Homes, and Coroner's Office with inquiries and documentation for death certificates.
Process Birth Worksheets, Birth Certificates, and obtain necessary signatures.
Process requests for Newborn Medicaid and Social Security numbers.
Process Spontaneous Termination of Pregnancy forms and request medical records if needed.
Conduct daily walk-throughs of L&D and Maternity Units to interview patients and secure financial information.
Review and update facesheets and patient information to ensure notifications, verifications, and authorizations are secured.
Report changes in patient information to Utilization Management, Medicaid Office, and other Hospital Associates.
Prepare Testing Requisitions, affixing labels and attaching necessary forms.
Perform all other duties as required.