Financial Counselor and Registration
Patient Business/Insurance Representative (Former Employee) – Pittsburgh, PA – April 1, 2018
Patient Access provides system wide oversight for access services provided at Facility, overseeing the delivery of services that facilitate patient access to the Medical Center; financially securing patient care prior to or at time of care, avoid bad debt related to unauthorized hospitalizations or procedures, un-sponsored care or incorrect patient payer or demographic data, and enhance patient / family and physician / provider satisfaction with access services. Patient Access will work with executive leadership, clinical directors, and physicians to identify capacity issues that create barriers to patient flow. Patient Access also interfaces with external entities such as third-party payers, regulatory agencies, other health care institutions, vendors, patients, and families. Patient Access will assure hospital compliance with Advanced Beneficiary Notification (ABN), Medicare as a Secondary Payer Questionnaires (MSPQ), Advanced Directives, Patient Bill of Rights, medical necessity, observation status and other regulatory guidelines. Patient Access leads the organization in a manner that is patient-centered and respectful of all other customers and stakeholders. This position will work in collaboration with the PFS Director, Director of IT, Director of Case Management, and the Director of HIMS, and various clinic leaders within the Ambulatory Care and Clinical Services departments. This position will have as direct reports the following operational areas of the revenue cycle, including: Patient Admitting, Registration, and Pre-Admissions/Registration.
wanted to attend more meetings/classes but could not due to full time job