Carondelet Health Network
Position: PATIENT ACCESS REGISTRATION REP
Competition No.: 421.8561.0477-48
Posting Date: 02-23-2012 BiWeekly Hours: 80
POSITION SUMMARY:Under general supervision, the Registration Representative is responsible for various financial, registration, and comprehensive duties of a regulatory nature. Provides department operations and clerical support to Admitting Team as assigned. Performs all registration functions.
Level 1 Skilled
1.1 Receive and register all patients including direct admissions to the hospital. Receive and verify on-line pre-admission information.
1.2 Record appropriate insurance information and notify third-party payer for prior-authorizations as contractually dictated.
1.3 Obtain needed information from physician’s office as necessary.
1.4 Notify appropriate DES office of admissions and coordinate efforts with Financial Counselors.
1.5 Prepare all paperwork and arrange delivery of patient and paperwork to appropriate area. 1.6 Maintain all confidentiality of all patient information and release information only as outlined in appropriately signed Conditions of Admissions. Adhere to all CMS, JCAHO, OSHA, EMTALA and Infection Control requirements pertaining to the admitting process.
1.7 Obtain, verify, and accurately enter all patient information received from patient or family member as needed for registration.
1.8 Assign and record appropriate insurance information and notify third party payers as directed by contractual agreement and document in the system.
1.9 Coordinate multiple activities seamlessly to show effective operations.
1.10 Provide exemplary customer service to each patient and family member entering the hospital.
1.11 Ensure all required information is obtained and entered to ensure the billing of the identified revenue source.
1.12 Partner with the Billing Office to ensure increase cash flow, reduce days in A/R, and maintain communication link.
1.13 Request point-of-service collections. Collect co-payment amount as indicated by registration information or insurance card. Maintain accuracy of all receipts and payments received.
1.14 Forward payment to appropriate area as directed. Provide receipts for all payments received.
1.15 Maintain individual cash/productivity log for co-payments and/or deposits.
1.16 Meet the productivity and quality standard of the department.
1.17 Perform patient placement duties as assigned.
1.18 Develop and maintain office organization including filing system, record keeping, messaging, and clean work environment.
1.19 Process and verify supply orders. Maintain par levels of form supplies necessary for efficient operations.
1.20 Assist in training of new employees as assigned.
Level 2 Proficient (in addition to above duties)
2.1 Enter data into databases, spreadsheets, and systems used within the department. Retrieve statistical data and information.
2.2 Maintain files for reference as necessary.
Level 3 Subject Matter Expert (in addition to above duties)
3.1 Provide assistance with special events and/or projects as requested.
3.2 Assist with department procedures and administration.
3.3 Participate in quality improvement measures within the department.
POSITION COMPETENCIES: (All competencies identified in this document are essential to the satisfactory performance of the position by any/all incumbents, with reasonable accommodation, if necessary.)
1. Support and fulfill the mission of Carondelet Health Network.
Understand, interpret, and model the values of CHN. Clearly and consistently communicate these values to staff and all others with whom we work; ensure that the specific environment vision is in alignment with CHN’s mission and values.
2. Support and participate in achieving Carondelet's Strategic Vision.
Contribute to the development, implementation and promotion of the entity’s strategic plan and the departmental/unit program or operational plans aligned with the Network’s Strategic Vision. Identify opportunities to achieve the vision and participate in the development and implementation of unit objectives and action plan tasks. Respond to organizational changes required to achieve strategic objectives.
3. Maintain technical skills and knowledge in order to ensure optimum service and documentation.
Demonstrate/apply knowledge of standard office equipment (i.e. phone, fax, and copier). Retains knowledge of computer systems and their applications relevant to the specific environment. Utilize appropriate medical terminology of the specific environment and medical terminology to complete the processes required by Federal and State regulations (i.e. ABN, etc).
4. Provide support and contribute to a positive work environment.
Exhibit patience and understanding when interacting with others. Demonstrate efficiency and dependability in performance of overall job tasks. Function as a team player through cooperation, willingness, and flexibility. Present with a friendly and pleasant attitude as well as appropriate personal hygiene and appearance. Attend all hospital and departmental meetings as directed.
5. Provide outstanding customer service and maintain customer satisfaction.
Respond to needs of internal and external customers in a timely and efficient manner. Demonstrate and apply knowledge of policies and procedures including scheduling, coding, billing and knowledge of insurance, as applicable. Communicate in a professional and positive manner. Provide appropriate, timely, and comprehensive quality service (i.e. scheduling of conference rooms, appointments, etc). Consistently uphold confidentiality of customer information. Demonstrate ability to prioritize operations of the specific environment, as an advocate for customer needs. Interface with Clinical units to ensure a smooth revenue cycle. Interface with physician’s offices for pre-admit and registration functions.
6. Cultivate the environment’s growth and development through innovation and improvement of processes.
Demonstrate knowledge of resources specific to the position or environment. Exhibit creativity in problem solving and/or trouble shooting. Employ a willingness to seek out and learn new methods of performance appropriate to position. Function independently with minimal supervision.
7. Maintain a safe, functional, supportive and effective environment for all associates, patients, customers and other individuals utilizing CHN facilities.
Identify the location of Hazardous Communication Manual(s), Material Safety Data Sheets (MSDS), and Emergency Preparedness Manual. Follow all emergency and safety policies and procedures of CHN. Meet SLP annual requirements. Respond with appropriate phone numbers to report emergencies.
POSITION SPECIFICATIONS AND QUALIFICATIONS:
Requires establishing collaborative relationships with all internal and external customers including, but not limited to Supervisors, Managers, Directors, division Vice Presidents, and CHN executives.
Accountable for the provision supplies, cost efficiency, and prudent use of resources. Accountable for accuracy and timeliness of duties.
Normal duties include a risk of blood borne pathogen exposure Yes_____ No__X___
Populations Served: While performing this job, the employee does not provide appropriate care for age-related needs of the population(s) served. Unit specific performance standards and policies are indicated under appropriate Designated Department.
SPECIFIC DEPARTMENT ADDENDUMS: This section lists addendums for specific departments that a Patient Access Registration Representative may be assigned to work.)
Required: High School Diploma or General Education Diploma (G.E.D.).
Required: Complete CHAA Certification within 12 months of employment
Required: 1 year related experience or strong customer service experience
Preferred: 2 years related experience, data entry experience, and health care experience.
Required: Excellent human relations skills for interacting with the public. Basic keyboard skills.
Required: Medical Terminology and/or Word Processing Experience.
Preferred: Basic knowledge of CPT-4 and ICD-9 coding terminology along with general knowledge of hospital billing and insurance procedures.
Required: Basic computer skills, general office equipment. Able to search the internet for coverage and eligibility requirements
Preferred: Advanced computer skills. Knowledge of hospital software systems.
Required: Demonstrates commitment and desire for professional growth within organization.
Any equivalent combination of education, training and/or experience that fulfills the requirements of the position will be considered.
Carondelet Health - 2 years ago