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PATIENT ACCESS REPRESENTATIVE I

Company: Crystal Orthopedic Clinic
Location: Montrose
Posted on: June 8, 2021

Job Description:

Job Description Job Title: Patient Access Representative I Reports to Job Title: Patient Access Supervisor Job Code: 1481 FLSA Status: NonExempt Department: Patient Access Services Grade: 23 Location: Multiple Locations Job Type FT or PT or PRN SUMMARY: Provide a brief, 4-sentence description of the role, overall purpose of this job, what success in the position looks like, and how it fits into the company or organization overall. The Patient Access Representative supports the clinical operations of The Crystal Clinic Orthopaedic Center (CCOC) by performing the registration or clerical functions to ensure patients have prompt access to CCOC services. Will perform call center scheduling, arrival desk, and / or departure activities throughout multiple locations for the Crystal Clinic. Verifies insurance eligibility for upcoming patient appointments. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. List the essential duties required to carry out this job, in order of importance. Use complete sentences, present tense and gender neutral language. Start sentences with verbs that most accurately describe the level of contribution and decision making, e.g. develop, implement, execute, coordinate, propose, participate in, ensure, direct. % of Time List each essential duty required. Add more rows if needed to list all duties. 90% Registers patients in an accurate, efficient, and profession manner to insure integrity of patient data in HMS and Centricity systems; Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities and patient Rights and Responsibilities and Notice of Privacy Practices; Follows check-in procedures consistently for all patients ensuring that all forms are collected, completed, signed, and scanned into systems; Verifies insurance eligibility for upcoming patient appointments using, eligibility system; Collects referring physician demographic information for communication and follow-up; Performs visit preparation, appointment reminders, records and tracks no-show patients, and other point of service activities as assigned. Choose an item. Handles a wide variety of patient inquiries (on the phone or in person) regarding appointments and services to ensure that patients can access CCOC services with minimal hassle or delay; Answers the telephone in a pleasant and courteous manner within three rings, identifying self and organization. Choose an item. Identifies co-payments / out-of-pocket expenses, advises patients regarding the need for payments at / or prior to the time of service; Identifies patients in need of financial counseling to collect payments by following CCOC policies and guidelines; Facilitates the cash collection, as needed, for services rendered and ensures payments received are balanced and batched correctly according to CCOC policy. Choose an item. Schedules appointments (office visits, tests, or procedure) accurately by following specialty and physician specific guidelines and/or routes the patients to the appropriate area for further follow-up/ scheduling; Processes internet appointment requests and responds to patient according to departmental policy; Ensures same day add-on appointments are communicated to appropriate department personnel and authorization is obtained; Schedules all follow-up appointments or procedures using HMS and Centricity systems and provides proper patient instructions. Choose an item. Communicates to nursing, physicians, technicians, secretaries, and supervisors regarding issues relating to patient wait times, late arrivals, or other delays. Choose an item. Recruits, registers, and trains patients on how to use Patient Portal systems. Choose an item. Provides back-up coverage and assists in daily office routine when needed in other areas. Choose an item. Maintains confidentiality of sensitive information including, but not limited to, patient records, charts, hospital documents and employee information without exception, according to HIPAA guidelines. Choose an item. Maintains up-to-date knowledge of computer systems, insurance / government regulations and Patient Access policies/ procedures used within CCOC. 10% All other duties not specifically assigned.EDUCATION and/or EXPERIENCE: Education level required and preferred, College Degree(s). Differentiate between years of Required Experience and preferred experience. List specific skills required to perform the job. One (1) to Three (3) years of demonstrated experience in healthcare field or healthcare profession preferred; 1 year Customer Service experience required. Use of HMS and Centricity systems preferred.Certificates/Licenses/Registration: List required Licensing. N/A Management: Describe extent of people management (allocation of work, motivation, coaching, development, performance evaluation). Describe extent of technical leadership, project management. # of Direct Reports: # of Indirect Reports: # of Contractors or Temporary: 0 0 0 Does the position customarily and regularly direct the work of at least two or more other full-time employees or their equivalent; and does the position have the authority to hire or fire other employees, or the employee's suggestions and recommendations as to the hiring, firing, advancement, promotion or any other change of status of other employees must be given weight?KPIs & Financial Responsibilities (budget, revenue): Does the position have level of budget responsibility, authority and level of control? Does position have divisional, regional, business or group level responsibility? WORK ENVIRONMENT: The work environment characteristics described here are representative of those encounters while performing the essential functions of this job. Frequently Occasionally N/A SittingStandingWalkingClimbing/BalancingReaching - with Arms and HandsStooping/Kneeling/Crouching/CrawlingAfter Hours workTravel away from Primary locationWork is performed indoors/outdoors with potential for exposure to safety and health hazards related to office work. Could periodically travel to other office and operational sites. The noise level in the work environment is usually moderate.Physical Requirements: 1 - 10 lbs. 11-25 lbs. 26-50 lbs. 51 lbs. N/A LiftingCarryingPushing / PullingWork Standards: Works well with patients, physicians, vendors, sales reps and other CCOC employees. Successfully meets Unit Specific Skill Sets. Complies with all Standards of Behavior set forth by CCOC. Adheres to policies and procedures set forth in CCOC Employee Manual. Adheres to the CCOC attendance policy. Follows HIPAA, OSHA and Compliance Plan regulations.Commitment to Core Competencies At the CCOC, certain values shape and influence all of our decisions and actions. These core competencies are demonstrated by all employees and contribute directly to results related to: quality and safety, service, people, finance, and operations and growth. As an organization, all employees with patient contact are expected to demonstrate competencies, specific to their job duties, for the following patient population categories: Elderly, Children, Cardiac, Surgical, Impaired (Hearing/Visual), Cultural, Age.Employee Statement of Understanding The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification. This description of duties is not intended to be all inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility. I have read and understood the job description for my position. I am able to perform all the essential functions for this position. I agree to comply with the corporate compliance policy and all laws, rules, regulations and standards of conduct relating to my position. As an employee, I understand my duty to report any suspected violations of the law or the standards of conduct to my immediate supervisor. As an employee, I will strive to uphold the mission and vision of the organization.

Keywords: Crystal Orthopedic Clinic, Snowmass , PATIENT ACCESS REPRESENTATIVE I, Other , Montrose, Colorado

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