Patient Access Specialist - Chambersburg - Days

Position Function: Obtain complete and accurate collection of patient demographic information. Serves as the initial contact for patient access. Responsible for insurance verification scheduling registration and authorizations of patients studies.

Essential Functions and Responsibilities
Unit Based Essential Functions and Responsibilities

Job Class Specifics
all equipment in a safe working condition; notifies supervisor of malfunctioning equipment or unsafe acts/conditions immediately. Maintains a neat clean work area; communicates to Environmental Service as appropriate.
oneself in all telephone conversations. Portrays a friendly tone when speaking on the telephone.
workload at beginning of shift and throughout so that time lines and volume of workload done minimized patient waiting time.
for next days schedule; obtains/retrieves requested data/schedules etc. to promote efficient low of workload.
patients in a timely and accurate manner.
required report(s) as assigned.
assigned completes statistical reports.
and files required information in the appropriate EMR chart.
other related duties as assigned.
on-line Intranet tools.
data accurately on the patient account for use within the department.
all appropriate documents into system including doctor order eligibility documents and authorizations.
a high degree of accuracy in the collection of demographic and insurance information.
to avoid creating duplicate medical record numbers.
Medicare and Medical Assistance regulations as they apply to registration of patients. Adheres to regulations.
Worklist and other Reports.
add-on process for tests/procedures regarding scheduling for authorizations/referral process.
scheduled bookings to certify coordinating requirements order entry pre-registration and insurance information; verifies/documents pre-certification and medical necessity requirements prior to exam.
other competencies as required.
all duties in accordance with departmental and organization policies and procedures and good customer service principles.
effective training and cross training in a timely manner; willingly accepts new and/or additional responsibilities.
actively to complaints without being defensive and refers to manager as appropriate.
staff meetings/in-services related to his/her area.
performance/productivity standards for assigned duties.
manager of supply needs to maintain forms materials equipment and supplies inventory

Additional Specifics for Scheduling Team
patient order assuring that correct ordering doctor is listed on all orders.
patient scheduling queries as necessary for scheduled tests/procedures.
requests for scheduling tests/procedures by accurately and effectively using the telephone and scheduling systems to complete requests received from patients physicians offices nursing homes nursing floors and schedules tests/procedures appropriately in accordance with departmental guidelines. Instructs caller as appropriate on required exam preps or lab tests for requested procedures.
logs on to telephone system and schedules all tests/procedures in system as received either by phone or fax requests.
patient procedures/appointments in accordance with departmental procedures; mails confirmation letter and related information to patient as per departmental procedures as directed.
and posts payments for services provided to patients.
to avoid creating duplicate medical record numbers.

Additional Specifics for Insurance Verification Team
insurance coverage and benefits according to department procedures.
knowledge of insurance and their requirements. Refers to specific information provided in the Epic system.
various software programs for insurance verification.
ordering provider of authorization status.
authorizations and referrals as required by insurances.
appropriate facility of waiver forms when appropriate.

General Requirements

The following requirements are expected of all employees:

Core Values: Integrity Compassion Excellence Service
Annual Health Screening with Infection Control and Blood Borne Pathogens Education
Safety Awareness: Hospital Fire Safety and Disaster procedures
Confidentiality: Maintains employee and patient confidentiality.
Attendance: Regular attendance is an essential function of the position
Leadership Standards:
Character: Attitude Integrity Role Modeling
Job Performance: Results orientation Customer focus Decision making Awareness
Interpersonal Skills: Communication Relationship-building Team player Celebration Bi-lingual preferred.
Innovation: Breakthrough Thinking Knowledge-Building/Sharing Coaching/Empowering System Vision & Management

Physical and Mental Requirements: Physical Standards and Abilities--Classified as light work by the Dictionary of Occupational Titles: May exert up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or an insignificant amount of force constantly in order to lift carry push pull or otherwise move objects.
Walks occasionally throughout department.
Stands occasionally on carpet tile or linoleum.
Sits on a hard or cushioned chair frequently.
Lifts up to 20 pounds to and from all levels (floor waist shoulder overhead) on an occasional basis.
Carries up to 10 pounds occasionally throughout the facility.
Bends twists squats and kneels occasionally.
Reaches up to 2 feet overhead/in front of oneself on an occasional basis.
Near-visual acuity with color perception in order to view computer screen and decipher fine print.
Manual dexterity adequate for utilizing a keyboard calculator and processing paperwork.
Ability to adapt to simultaneous multiple and varied stimuli.
Auditory acuity for hearing telephone conversation normal voice tones when not facing the individual.
Clear speaking voice in order to communicate effectively.
Mental Demands--Ability to communicate effectively in both verbal and written form. Must be able to comprehend medical terminology. Must be able to work within time constraints establish priorities and adjust to multiple simultaneous stimuli.

Working Environment: Work is performed in a clean well-ventilated indoor environment; requires standing and walking.

Reporting Structure: Reports to the Assistant Manager/Manager of Patient Access. In the managers absence reports to the Director of Patient Access.

Disclaimer: These essential job functions are requirements of the position which must be performed either with or without reasonable accommodation. The essential job function list is intended to be a guide rather than a limitation. The Chambersburg Hospital possesses the right to add new responsibilities to the list as business demands dictate. Some of the essential job functions may exclude individuals who pose a direct threat/significant risk to the health and safety of themselves or others.

By identifying essential job functions we are in no way stating or implying that these required tasks are the only activities that are to be performed by the employee occupying this position. In addition employees will also be expected to follow any other job-related instructions and to perform any other job-related duties that are included in the job description. The preceding requirements represent only the minimum acceptable levels of knowledge skills and/or abilities that a job incumbent must possess; in order to perform the job successfully the incumbent will possess additional aptitudes so as to perform the other duties that the job description entails.

Qualifications and Standards

Education: High school graduate or equivalency required. Completion of a medical terminology course; completion of medical program i.e. Certified Coding Specialist Medical Billing and Coding Medical Assistant or equivalent in experience is required.

Experience: Experience applying customer service behaviors and communication skills required. Experience in insurance verification scheduling registration and authorization preferred. Minimum typing speed of 40 words per minute knowledge of insurances and computer literacy required.

Certifications/Licensure: Certification by the Healthcare Financial Management Association (HFMA) of Certified Revenue Cycle Representative (CRCR) is preferred.