Responsible for facilitating encounter or episode process for our customers by performing activities related to patient registration.
Responsible for providing excellent customer service at every encounter.
Accuracy of data capture to reduce denials is paramount.
Secure financial payment at time of service including co-insurance, copayments, self-pay and deductible monies due.
Illustrate contract requirement knowledge and use of tools to respond to provider network questions.
Schedules patient appointments according to clinic protocol using Advanced Access principals where applicable.
Guides and educates patients on the use of the registration Kiosk.
At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us:
Full Time - Exempt: No
Job is based:PMG Rio Rancho
Work hours:Weekday Schedule Monday-Friday
Benefits: We offer a wide range of benefits including medical, wellness programs, vision and dental, paid time off, retirement and more.
Experience:
- A minimum of 18 months of work experiences in office, healthcare with strong customer service background. Must pass EPIC competency for Registration at completion of Epic Clerical Training class.
Abilities:
- 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.
- Pass annual competency exam for all areas of responsibility.
- Attend Quarterly MSO meetings.
- Attend Staff meetingsAttend Employee Forums
- 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.
- Performs the patient registration process.
- Manage the accurate collection of patient data which includes but is not limited to; Kiosk concierge performance Demographic data Insurance critical elements
- Investigate via electronic tools insurance eligibility
- Provides informed dialogue with patients and patients representatives regarding E-signature documents, offering printed copies at each interaction
- Able to answer questions regarding hospital and departmental operation, polices and procedure including but not limited to
- Provider Based Billing where applicable
- Schedules patient appointments according to guidelines by providing documentation of scheduled appointments, procedural instructions and location directions.
- Follows team and same day appointment guidelines.
- Monitors daily patient schedule for accuracy, anticipate errors and take corrective action.
- Identifies no show patients and uses EOD status.
- Follows No-Show workflows to take appropriate step for notifying the patient and/or the clinical team as to the patients status.
- Manage patient relations in regard to late arrival for pre-scheduled appointments. Explore all options to resolve the situation while maintaining effective and customer focused communication.
- 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 CenterFollows PMG cash handling policies and balances daily
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 Forms
Patient Relations
- 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.
- Communicates delays while offering service recovery
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 Blue
Quality Improvement:
- Perform assigned patient care responsibilities, which may include:
- Overdue result letters
- Appointment reminder calls Rescheduling
Why work at Presbyterian?
About Presbyterian Healthcare Services:
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
Inclusion and Diversity
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.