Job Summary :

Serves the needs of patients, associates, and third party payers through the accurate, effective, and efficient completion of Patient Access and Revenue Cycle tasks.

Job Description

Essential Responsibilities: 

1. Processes pre-registration for all patient types without creating duplicate medical record numbers or duplicate patient account numbers including: 

• gathers demographic and insurance information by telephone or during pre-procedure encounter
• enters above data into the EHR
• assembles packet for specific patient type

2. Processes all patient type registrations without creating duplicate medical record numbers or duplicate patient account numbers including:

• scans insurance card(s)

• enters/verifies demographic and insurance data into HER

• runs insurance eligibility
• types and assembles packets for specific patient type
• obtains room assignment by contacting proper nursing unit/bed control
• obtains appropriate signatures on forms
• directs/transports the patient to the appropriate department or unit
•  follows through on special diagnosis patients (i.e. infectious patients)
• offers all patients a copy of the brochure “Your Rights & Responsibilities as a Patient”
• completes Medicare Secondary Payer Questionnaires

3. Refers self-pay patients to navigator to convert patients to Medicaid or Health Exchange

4. Provides estimates to patients upon their requests

5. Edits/prepares registrations accurately before passing on to billing

6. Processes transfers and discharges

7. Completes follow-up on signatures, Medicaid eligibility and Medicare Secondary Payer Questionnaires

PBX Operator Responsibilities, in addition to other duties, may:

• Operates switchboard and handles announcements over public address system.
• Handles emergency code situations, including overhead paging, in-house paging and contacting the proper authorities.
• Responsible for forwarding mail to discharged patients.
• Receives, records and relays messages for doctors participating in the Physicians' answering service. Contacts other physicians (not connected with the service) as needed by hospital personnel. Utilizes Lotus Notes on-call system appropriately by logging all documentation in Notes. Maintaining "special instructions" including coverage changes, clearing "special instructions" when appropriate. Maintaining on-call schedules.
• Notifies supervisor of all changes and/or problems that should be entered into Lotus Notes on-call system, operators phone book, code guidelines, etc.
• Relays/posts information in all appropriate places.
• Assist in trouble shooting phone and pager equipment as necessary.

Supplemental Responsibilities:

            1.         Assists with scheduling of staff.

            2.         Maintains supply inventory.

3.     Assists with productivity and quality assessment and improvement as assigned.

            4.         Performs PBX duties as needed.

Education and Experience Required: 

• High school diploma or equivalent preferred.
• 1 – 3 years of customer service, administrative and/or data entry experience required
• 1 – 3 years of experience in a healthcare environment preferred
• Experience with database software applications desired

Specific vocational preparation includes occupationally significant vocational training or preferred on-the-job computer and switchboard experience.  Medical terminology and healthcare business office experience would be helpful.

Work Shift :

1st Shift (United States of America)

Scheduled Weekly Hours :

38