Under the general supervision of the Patient Access Manager. Schedules patients for Out-patient services or treatment. Customer service oriented associate that reserves appointments, maintains, updates, and coordinates Centegra Primary Cares and ancillary departments. This position is responsible for the appropriate scheduling of time, the room and ancillary services. Additionally, interviews all patients requiring registration insuring that accurate patient information is collected by obtaining the required demographic and financial information, and patients are informed of their rights and responsibilities. Able to meet department staffing needs which include weekends and holidays.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Provides excellent service to all customers by responding to customer requests/ issues in a
and timely manner. Displays Centegra Service Excellence standards. Always displays a positive attitude and has excellent communication skills when interacting with all other departments.
Forwards patient accounts to Insurance Verifier/Financial Counselor prior to scheduled services. Distributes all paperwork to appropriate departments via computer.
Patients who do not have insurance coverage must be hand delivered to the Verifier/Financial Counselor immediately after the scheduling/pre-reg call is complete.
: Demonstrates efficiency in answering the phone, identifying Centegra Primary Care department and his/her name, manage incoming calls professionally. Coordinates patient appointments with other patient care schedules (i.e. ultrasound, stress test, etc.) providing optimum services. Confirms patient|
's appointments. Maintains electronic appointment book and follows the physician's scheduling protocols. Ability to coordinate and prioritize during high volume times, performing multitasks efficiently.
Demonstrates knowledge of medical terminology in the documentation of scheduling
procedures. Demonstrates knowledge of all Centegra Primary Care procedures in order to effectively schedule multiple procedures. Utilizes copy machine, fax, computer and various office equipment daily.
Communicate pre-treatment instructions or preparations that have been identified by the service area to the patients during the scheduling pre-registration call.
Interviews patient or patient's representative via telephone to obtain demographic and financial information to initiate a patient financial and medical record without creating a duplicate medical record number (multiple numbers for same patient). Expectations for quality of work produced of 95+% accuracy.
Maintains a good rapport and is sensitive to the needs of others personalizing the registration process to provide a friendlier patient encounter. Insures patient confidentiality according to the privacy act. Knowledge of all areas of Patient Access: scheduled inpatient, outpatient surgery, scheduled outpatients (
MRI, CT, Mammo, etc
Insures compliance with regulatory regulations: COBRA/ EMTALA, Medicare Secondary Payer screening, Advance Beneficiary Notification, 3-Day Rule, Important Message, etc.
Provides patient education concerning Advance Medical Directives, Organ Donation, Patient Rights, regulatory requirements and financial policies whenever appropriate.
Exchanges information with physician offices, nursing homes, and other departments within the hospital to insure a complete and accurate registration record. Patient is handled/ processed correctly.
Prepares oral/ written communications including periodic status reports. Communicates through computer notations and maintains a variety of records and logs reflecting actions taken on individual accounts, correspondence, etc.
Answers telephones, handles calls or directs calls to appropriate area. Performs other related clerical duties.
Other duties as assigned by Manager or Director.
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
Ability to read and write, perform arithmetic calculations and possess excellent interviewing and communication skills. High School Diploma or equivalent required, some college courses preferred. Ability to type 30+ wpm and possess computer literacy.
A minimum of two years experience registering or billing in a medical setting or insurance claims processing preferred. Scheduling experience preferred. Medical terminology a must.
Ability to read physicians order or scripts to insure appropriate care, instructions and directions are provided to the patients.
Interpersonal skills necessary in order to effectively communicate with all customers (patients, visitors, hospital staff and others). Able to handle/ diffuse/ resolve difficult situations, including customer complaints.
Analytical skills necessary in order to process admissions appropriately calculating patient shares; balance cash drawer as needed.
Self-motivated and strong organizational skills; ability to handle multiple tasks simultaneously; ability to prioritize.
Physically able to remain seated for long periods of time.
Bilingual ability a plus.
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
EOE M/F D/V
Centegra provides our Associates with a Total Compensation Rewards and Recognition Strategy including compensation, benefits, learning and...