Pre-Access Specialist Joanie Abdu Comprehensive Breast Care Center
Pre-Access Specialist Joanie Abdu Comprehensive Breast Care Center
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1 Vacancy
Job Description
Thank you for considering a career at Mercy Health!
Scheduled Weekly Hours:
40Work Shift:
Other (United States of America)40 hours Full Time
Summary of Primary Function/General Purpose of Position (2-3 sentences)
Primary responsibilities include front desk scheduling registration point of service collection and promoting the values and mission of BSMH.
Essential Job Functions
Essential Functions (7-10) Statements - List the essential functions of the job. Essential functions are the reasons a job exists.
- Schedules the correct procedure at the appropriate facility and appropriate time while also ensuring assignment of proper patient types. Collects and accurately documents initial pre-certification / authorization information if available when scheduling.
- Accurately obtains / validates / documents patient demographic insurance and clinical information and assigns correct payer plan code.
- Accurately pre-registers patients including selection of proper medical record number for patient safety.
- Completes insurance verification and eligibility checks.
- Calculates patient liabilities and actively collects and processes patient payments.
- Receives and processes physician orders received via fax Order Facilitator EPIC or any other method available for receiving pre-service orders. Performs medical necessity / compliance checks to ensure services meet medical necessity based on Medicare Local Coverage Determination (LCD) and communicates ABN requirements to physician offices if scheduled service(s) is not medically necessary.
- Performs front desk duties inclusive of patient check-in and escorting/assisting patient to gowned reception area. Corrects registration errors identified during pre-registration. Follows up on missing orders ensures that requested orders are received and on file prior to services being rendered.
- Demonstrates problem solving skills related to scheduling registration financial clearance and patient liability
This document is not an exhaustive list of all responsibilities skills duties requirements or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor subject to reasonable accommodation.
Patient Population
The following must be included in all position descriptions that involve direct or indirect patient care. This is a Joint Commission requirement. Also select the age of the patient population served:
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patients status and interprets the appropriate information needed to identify each patients requirements relative to his or her age specific needs and to provide the care needed as described in departmental policies and procedures.
Neonates (0-4 weeks)
Adolescents (13-17 years)
Infant (1-12 months)
Adults (18-64 years).
Pediatrics (1-12 years)
Geriatrics (65 years and older)
Not applicable to this position.
Employment Qualifications
Education Qualifications - List the minimum education training and experience required to perform the essential functions of the position.
Required Minimum Education: High School Diploma or GED
Graduate of business school preferred.
Licensing/ Certification - If registration certification or licensure is required include the name of the accrediting or licensing body.
Licensure/Certification Required: None
Minimum Qualifications
Minimum Years and Type of Experience
1-2 years of healthcare experience preferred. 1-2years of extensive customer service experience preferred. Experience in multiple areas of pre-access (scheduling pre-registration financial clearance) preferred.
Other Knowledge Skills and Abilities Required
Other Knowledge Skills and Abilities Preferred:Medical terminology and knowledge of insurance preferred
Combination of post-secondary education and experience in lieu of a degree.
Conditions
This section addresses the physical environment in which the employee will perform the work.
Periods of high stress and fluctuating workloads may occur.
Long-distance or air travel as needed- not to exceed 10% travel.
General office environment.
May be exposed to high noise levels and bright lights.
May be exposed to physical altercations and verbal abuse.
May be exposed to limited hazardous substances or body fluids.*
May be required to use physical restraints.
May be exposed to human blood and other potentially infectious materials.*
May be exposed to adverse weather conditions; cold hot dust wind etc.
May have periods of constant interruptions.
Required to car travel to off-site locations occasionally in adverse weather conditions.
Prolonged periods of working alone.
Work Position
Sitting
34-66%
Walking
34-66%
Standing
1-33%
Physical Requirements/ Hazards
Physical Requirements
Hazards
Select if a physical requirement for this job.
Select if a potential hazard for this job.
Manual dexterity (eye/hand coordination)
Depth perception
Perform shift work
Use of Latex Gloves
Maneuver weight of patients
Exposure to toxic/caustic/chemicals/detergents
Hear alarms/telephone/tape recorder
Exposure to moving mechanical parts
Reach above shoulder
Exposure to dust/fumes
Repetitive arm/hand movements
Exposure to potential electrical shock
Finger Dexterity
Exposure to x ray/electromagnetic energy
Color Vision
Exposure to high pitched noises
Acuity far
Gaseous risk exposure
Acuity near
MercyHealth is an equal opportunity employer.
Many of our opportunities reward* your hard work with:
- Comprehensive affordable medical dental and vision plans
- Prescription drug coverage
- Flexible spending accounts
- Life insurance w/AD&D
- Employer contributions to retirement savings plan when eligible
- Paid time off
- Educational Assistance
- And much more
*Benefits offerings vary according to employment status.
Department:
Womens Imaging Center - St. Elizabeth - ABDU Breast Care CenterIt is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 60-1.4(a) 60-300.5(a) and 60-741.5(a). Accordingly all applicants will receive consideration for employment without regard to race color national origin religion sex sexual orientation gender identity age genetic information or protected veteran status and will not be discriminated against on the basis of disability. If youd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown Ohio or Bon Secours Franklin Virginia; Petersburg Virginia; and Emporia Virginia which are Affirmative Action and Equal Opportunity Employer please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process please contact The Talent Acquisition Team at .
Required Experience:
Unclear Seniority
Employment Type
Full-Time
