PATIENT ACCESS SPECIALIST - CENTRAL REGISTRATION-HOSPITAL
Company: St. Luke's Hospital
Location: CHESTERFIELD
Posted on: May 3, 2021
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Job Description:
Principle
Accountabilities:
% of
Time Spent 1.Acts a
patient liaison upon arrival to initiate patient flow and
operations necessary to comply with managed care contracts and CMS
regulations. Conducts face to face interview with patient to
achieve successful clinical outcome and maintain charge integrity
in clinically driven revenue cycle. Processes patient
accounts in accordance with the departmental and institutional
policies and procedures. Responsible for accurate
registration of patient demographics and insurance and assures the
validity of incoming data, corrects information as needed, and
processes the registration including explaining and obtaining the
patients signature on the Consent for Admission/Treatment, Release
of Information/Assignment of Benefits and Financial Responsibility,
and completing Medicare Secondary Payer (MSP) questionnaire.
Collects proper consent for Missouri Health Connection to share PHI
data. Assess and interpret Medical Necessity guidelines with
providers to prevent denials and to comply with CMS regulations to
formally notify patient via the appropriate format of their rights
and limitations. Documents actions taken, answers inquiries
involving patient registrations and researches problems to assure
payment. Scans documents to the patient’s medical record via
Cerner Imaging Functions. Verifies insurance
eligibility and benefits to notify patients of expected financial
responsibility and collect at the time of service. Provides
financial counseling concerning payment options with patients and
financial assistance. Reviews provider orders for accuracy and
completeness and follows up with physician offices as needed.
65% 2.Assures
integrity of critical system data elements. Completes assignments
in the prescribed time periods with efficiency and attention to
detail. Answers patient and/or third-party inquiries of patient
account, insurance eligibility and coverage questions, and/or
institution or department policies or procedures. Adheres to
Patient Access and St. Luke's Hospital's policies,
hospital/physician billing practices, and third-party requirements
and HIPAA regulations and obtains patient signatures on the Patient
Representative, Motor Vehicle Accident, and Out of Network form.
Teaches new employees and other staff members procedures. Works
efficiently with other staff members to accomplish work and
departmental projects.
25% 3.Provides
information and assistance to physicians regarding billing and
pre-certification procedures. Works to resolve patient complaints
and workflow issues before escalating to manager.
5% 4.Performs
other duties as assigned.
5% Total:
100%
High
school diploma or equivalent required Associate
Degree or equivalent work experience required Computer
literate, with keyboard skill of 35-40 words per minute.
Knowledge of medical terminology; medical terminology certificate
helpful. - One year or more of work experience in various areas of
medical field, Healthcare scheduling preferred. - Knowledge of CPT
and ICD-10 coding. - Ability to read and interpret physician notes,
diagnosis and other clinical documentation. - Effectively
communicate patient assessments which include complications,
conditions, diseases, diagnosis, previous treatment and severity of
illness to clinical staff to ensure successful patient outcomes. -
Must possess excellent communication and customer service skills:
*Active Listening-Giving full attention to what other people are
saying, taking time to understand the points being made, asking
questions as appropriate, and not interrupting at inappropriate
times. *Reading Comprehension-Understanding written sentences and
paragraphs in work related documents. *Time Management-Managing
one's own time and the time of others. *Speaking-Talking to others
to convey information effectively. *Writing-Communicating
effectively in writing as appropriate for the needs of the
audience. *Active Learning-Understanding the implications of new
information for both current and future problem-solving and
decision-making. *Critical Thinking-Using logic and reasoning to
identify the strengths and weaknesses of alternative solutions,
conclusions or approaches to problems. *Social Perceptiveness-Being
aware of others' reactions and understanding why they react as they
do. *Judgment and Decision Making-Considering the relative costs
and benefits of potential actions to choose the most appropriate
one. *Service Orientation-Actively looking for ways to help people.
*Pleasant speaking voice and demeanor. - Neat, professional
appearance. - Must be self-motivated and able to work with others
as part of a team. - Ability to perform in a highly stressful
situation. - Ability to multitask. - Ability to focus and maintain
direction in the tasks at hand under pressure. - Ability to
establish effective working relationships with patients,
physicians, insurance representatives and other medical support
staff. PHYSICAL
DEMANDS: While performing the duties of this job, the employee is
regularly required to sit. The employee is occasionally required to
stand, walk, reach with hands and arms, stoop, and bend; and may
require lifting of paper weighing up to 20 pounds. The position
requires manual dexterity to operate computer keyboard, calculator,
telephone, and other office equipment as necessary. Position
requires continuous viewing and typing on computers and use of the
telephone. Vision and hearing must be within normal
range. MENTAL / EMOTIONAL DEMANDS: Mental activities
necessary for this position include concentration, organization,
multi-tasking, problem solving, stress control, dependability, and
both verbal and written communication skills. This position
involves frequent contact with staff and patients. Work may be
stressful and busy at times. Contact may involve dealing with angry
or upset people. Interaction with others is constant and
interruptive. Position requires maintaining a high degree of
confidentiality. WORK ENVIRONMENT: Work is performed in
an office setting, well-lighted and ventilated, with adequate
space.
The most significant of duties are included but this does not
exclude occasional work assignments not mentioned or developmental
duties. MISSION Faithful to our Episcopal-Presbyterian
heritage and its ministry of healing, St. Luke’s is dedicated to
improving the health of the communities we serve. Using talents and resources responsibly, we
provide high quality, safe care with compassion, professional
excellence and respect for each other and those we serve. VISION As an independent healthcare network, we
create healthy communities in the region through our commitment to
high quality, safe and personalized services. CORE VALUES Human Dignity We accept and treat all persons
as being created in the image of God. Compassion We respond with caring to the
needs of others as if they were members of our family. Justice We honor each person’s rights
and responsibilities in light of the common good. Excellence We set and strive to attain high
standards of performance and continuous improvement. Stewardship We use our talents and resources
wisely, with honesty and integrity. FACES - Friendly - Available -
Caring - Efficient - Safe Communication Standards: Promotes and
provides courteous and effective communication with internal and
external customers.
Job Relationships:
Takes directions from: Assistant Manager Patient Access
Associate Director Patient Access
Director Patient Access
Keywords: St. Luke's Hospital, Chesterfield , PATIENT ACCESS SPECIALIST - CENTRAL REGISTRATION-HOSPITAL, Other , CHESTERFIELD, Missouri
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