Np, Patient Access Specialist, Registration

Job Profile Summary Job Details Job Title: Patient Access Specialist Effective Date: 08/06/15 Job Code: 60325 Clinical (Yes/No): No FLSA Status: Non-Exempt Supervisory Role: No Job Summary Responsible for the registration of patients, including patient interviews, pre-admissions, and information accuracy (including insurance information verification). Handles routine patient inquiries and problems. Facilitates patient throughput by collecting co-payments, obtaining signatures, making patient type changes, and completing tasks to eliminate delay. Communicates well with patients, physician office staff, and other Hospital departments to ensure an exceptional patient experience. Greets patients and processes them through to the appropriate area. *Employee required to work rotating schedules. Education Degree/Diploma Obtained Program of Study Required/Preferred High School Diploma or GED General Studies Required Certifications and Licensures Credential Required/Preferred None N/A Experience # of Years Type of Experience Required/Preferred Prior Medical terminology and health insurance experience Preferred Additional Knowledge, Skills, and Abilities - Cash handling skills. - Keyboard skills and computer experience. - Ability to handle multiple priorities. - Must perform good communication skills. - Attention to detail. - Enjoy working with the public. - Ability to work independently and self motivated. Job Specific Duties Patient Registration Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services. Reviews registration form for any missing data, and correctly enters information with limited keying errors. Obtains patient's and/or responsible party's signatures on consent and other legal documents. Updates registration system when applicable, and collects any payment due. Pre-Certifications/Pre Admissions Secures needed pre-certifications, authorizations and referrals and enters information properly in the registration system, with no more than 5 instances of error during quarterly review. Correctly routes paperwork, flags pre-admissions for any incomplete/missing information and communicates with service departments when orders are incomplete for scheduled patients. Insurance Verification Verifies insurance using the best and most cost-effective method for the particular insurance, such as software, payer website, or voice verification. For pre-registered patients, confirms insurance information entered into system is complete and accurate. Ensures that the insurance verified matches the plan filed with no more than 5 instances of error per quarter. Correctly assigns Guarantors, taking into consideration compliance requirements (hospital transfers, SNFs, etc.) with no more than 5 instances identified at quarterly review. Insurance Benefit Information Enters insurance benefit information on a patient's account in a standardized format and location within the main information system, and scans supporting documentation as appropriate. Correctly selects insurance plans and enters them in the correct coordination of benefits order, with no more than 5 instances of error. Enters appropriate Account Notes and uses Standard Notes when required. Patient Payment Administration Calculates money owed by patients, based on confirmed insurance benefits and informs patients of estimated amounts owed and options for payment. Administers the Hospital Credit and Collection policy, offering the Prompt Pay discount and identifies patients for referral for Medicaid eligibility and charity care consideration based on outcomes of FAU screening tool. Correctly administers alternate payment options such as Mosaic finance and Employee Wage Deduction. Completes fax notification daily of designated payers. Medical Record Numbers Accurately selects patient from the Master Patient Index or assigns a new medical record number as needed. Ensure duplicate medical record numbers are reported via online tool and account hot coded to indicate that reporting has occurred. Incurs no more than 3 errors as identified during quarterly review. Patient Type Changes Assigns the correct patient type according to pre-admitted status or service for non-pre-admitted patients.Correctly converts a registration from one patient type to another, changing all appropriate data elements and notifying Clinical Denial Management as appropriate. Correctly selects pre-admitted accounts for conversion and accurately selects appropriate appointments. Makes necessary patient type changes as requested by Clinical Denial Management staff by next business day. Customer Service Greets patients arriving to the department and directs as needed. Answers telephone calls and dispositions properly. Distributes parking passes according to procedure. Correctly explains and distributes HIPAA privacy information and appropriately updates each registration, addressing the NPP and opt out status. Teamwork Serves as backup for team members following department rules and regulations. Reporting Monitors assigned report(s) and corrects all problem accounts each workday, prints report(s) and provides to coordinator at end of each day. Professionalism Upholds a professional working relationship at all times and adheres to department rules. Practices teamwork and adheres to Standards of Behavior. Other Duties Performs other duties as assigned by management. UNC Health Care Employee Standards Communication: Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message. Collaboration: Works with others respectfully and openly; provides help to achieve shared goals. Service: Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message. Safety: Meets or exceeds patient and employee safety requirements while promoting and achieving quality outcomes. Accountability: Takes ownership for goals and outcomes; effectively and efficiently uses available resources to successfully complete tasks. Improvement: Identifies opportunities and takes action to continuously improve processes. Maintains effectiveness and flexibility during change. Workplace Requirements Employee Health: Complies with all required employee health programs including annual tuberculin testing and other applicable screening, testing and vaccinations. Credentials: Maintains current licensures, certifications and/or registrations (if applicable for the position). Job Competency: Complies with requirements for job specific competency testing and demonstrates and communicates proficiency in skills required (if applicable to position). Corporate Compliance: Adheres to and understands the Health System's Corporate Compliance Plan as evidenced by timely participation in required training (including annual testing) and 100% compliance with the Corporate Compliance Code of Conduct. Safety: Adheres to and understands the Health System's Environment of Care Plan as evidenced by timely participation in required training (including annual safety testing). HIPAA: Adheres to and understands the Health System's HIPAA Compliance Plan as evidenced by timely participation in required training (including annual HIPAA testing). Education: Attends all required educational programs (including General Orientation, and departmental or job specific required programs). Physical and Behavioral Requirements - Occasional stooping, standing, kneeling, and crawling. - Frequent sitting, walking, and reaching. - Medium physical force is required (exerting 20 to 50 pounds of force occasionally, or 10 to 25 pounds of force frequently, or up to 10 pounds of force constantly to move objects). - Visual acuity to accurately enter and view information via the computer. - Ability to hear and speak is required to effectively communicate with the public in person and via the telephone. - Manual finger dexterity for chart preparation, answering telephone, assisting patients, and accurately type information. - Ability to effectively manage a high stress environment resulting from a multilevel fast paced office requiring accurate and detailed tasks. Occupational Exposure to Bloodborne Pathogens Yes or No: No National Patient Safety Goals Improve the accuracy of patient identification Improve the effectiveness of communication among caregivers Reduce the risk of health care-associated infections Consistently demonstrate appropriate hand hygiene techniques Core Values Teamwork - Is an effective team player who adds complementary skills and contributes valuable ideas, opinions and feedback. Communicates in an open and candid manner and can be counted upon to fulfill any commitments made to others on the team. Compassion - Is sensitive to the feelings of others and is consistently kind and considerate. Genuinely cares about people and is available and ready to help. Shows sincere concern, empathy, sees the best in people, accepts differences and appreciates virtues. Integrity - Views himself or herself as a reflection of the organization by following through on commitments and accepting ownership of any mistakes he or she might make. Acts in ways that demonstrate personal honesty and serves as a positive example of why others should trust the motives of the organization. Standards of Behavior Respect: Maintain Patients' Privacy Professionalism: Take Ownership Safe and Healing Environment: Keep Noise Levels Down Customer Focus: Use the 10/5 Rule; Escort to Destination; Use Elevator Etiquette Communication: Use AIDET (Acknowledge, Introduce, Duration, Explain, Thank) Employee Statement of Understanding I have read and understand the job description for my position. I also understand that I am responsible for meeting the standards of performance outlined in this job description as well as conducting myself in a manner supportive of the mission, vision, core values and Standards of Behavior of High Point Regional Health. I certify that I possess the physical and mental abilities to regularly attend work and fulfill the essential functions of this position with or without reasonable accommodation. If I require accommodation in order to fulfill any or all of these essential functions, I will notify my manager immediately (or in the case of new employees, prior to employment). I understand that receipt of this job description does not imply nor create a promise of employment, nor does it create an employment contract of any kind. I furthermore understand that if hired, my employment relationship with High Point Regional Health is at will and may be terminated by myself or employer at any time with or without cause. The requirements listed above are representative of the knowledge, skills, education, certifications, licensure, experience, and/or ability required to perform the job. While this job description is intended to be an accurate reflection of the current job, management reserves the right to revise the job, work schedule, and/or require that different tasks be performed when circumstances change in order to best suit the needs of the department and/or organization.