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Form of workOverview* Coordinates the encounter or episode process for our patients and consumers by performing activities related to patient registration. *Accuracy of data capture to reduce denials is paramount. *Secure financial payment at time of service including co-insurance, copayments, residual balances, self-pay and deductible monies due.
*Illustrate insurance contract requirement knowledge and use of tools to respond to provider network questions. *Explain documents which require patient or representative signatures. *Use on-line tools to validate eligibility of coverage for presenting patients.
*Provides comfort rounding and communicates delays with exceptional patient experience tools.*Begin training on Kiosk usage where applicable*Other duties as assignedType of Opportunity: Full Time FTE: 1.000000 Exempt: No Work Schedule: DaysQualificationsAcademic Preparation: *High school or equivalentExperience: *A minimum of nine (9) months of work experiences in office, healthcare or customer service environment is required.*Must pass EPIC competency for Registration at completion of Epic Clerical Training class.Professional Requirements:*Pass annual competency exam for all areas of responsibility.*Attend Quarterly MSO meetings.*Attend Staff meetings*Attend Employee ForumsAbilities: *Requires general knowledge of the customer encounter process which may include scheduling, registration, contract requirements, financial guidelines, coordination of services and billing process in terms of what and how work is to be done as well as why it is done while maintaining exceptional patient experience.Education:Essential:* High School Diploma or GEDResponsibilitiesCustomer Service and Caring Practices:*Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools.*Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times*Ability to manage conflict and appropriately request the help of a supervisor when needed.*Monitor and maintain the lobby waiting areas for cleanliness and to offer comfort cart rounding to the patients and families. Keep patients informed of delays.Encounter Components: *Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to;*Guide informed dialogue with patients and patients representatives regarding e-signature documents and offer printed copies during each registration.
Able to answer questions regarding hospital and departmental operations, policies and procedures, including but not limited to Provider Based Billing*Demographic data*Insurance critical elements*Investigate insurance eligibility via electronic tools.Financial Accountabilities:*Collects identified patient financial obligation amounts including residual balance if applicable*Refers as appropriate to on site Financial Advocate, or for uninsured to the Financial Advocacy Center*Follows PMG cash handling policies and balances dailyMessage Management: *Formulates complete and accurate telephone encounter messages and routes to the appropriate Epic in-basket pool to support operational aspects of patient care.Medical Record Components: *Instructs patients on the Release of Information process and insure a fully completed ROI Form is submitted to Health Information Management. *Follows workflows to obtain incoming records, documenting receipt and preparing for scanning into the electronic health record.*Facilitate paperwork completions for patients. Communicate effectively, document and follow pre-determined workflows.
Items may include; Prescriptions, Handicap Placards, Disability FormsPatient Relations*Comprehend quality service connection to patient satisfaction and reimbursement *Manage patient relations in regard to late arrivals for pre-scheduled appointments. Explore all options to resolve the situation while maintaining effective and customer focused communication.Patient Safety*Respond quickly to patients showing distress. Follow guidelines set forth by the Clinic Manger to alert the clinical team.
Assist in any manner the clinic team directs.*Ensure registration area, waiting area and walkways are clear of any unnecessary items and are clean and neat.*Report any concern that may create a safety issue. *Annual competency completion of Clerical Staff during a Code BlueQuality Improvement: *Perform assigned patient care responsibilities, which may include:*Overdue result letters*Appointment reminder calls*ReschedulingC.A.R.E.S Behaviors: *Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.BenefitsWe offer more than the standard benefits!Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!Learn more about our employee benefits:https://www.phs.org/careers/why-work-with-us/benefitsWhy work at Presbyterian?As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.About Presbyterian Healthcare ServicesPresbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group.
Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.About Our Regional Delivery SystemPresbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.We are part of New Mexico's history - and committed to its future.
That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.About New MexicoNew Mexico continues to grow steadily in population and features a low cost-of living.Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky.
From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.Offer DisclaimerThe compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Compensation decisions are dependent upon the facts and circumstances of each offer.Maximum OfferUSD $20.57/Hr.
