Jobs · OTHR · California

Access Center Representative I

Tahoe Forest Health System · Truckee, CA · 1 mo ago
On-siteOTHR$29.17/hrFull-time
We need to output HTML fragment with sections: About the role? The posting includes summary and description. We'll create sections: About the role (maybe summary), Responsibilities (essential duties), Qualifications (minimum education/experience, other qualifications). No Pay/Benefits/Schedule unless present. There's Rate of Pay: $29.17hour + DOE. That's pay info. Should we include Pay section? The rule: include Pay section only if posting actually states them. It does state Rate of Pay: $29.17hour + DOE. So we should include a Pay section. However we must not include filler like "commensurate with experience". This is specific: $29.17/hour + DOE. So we can include Pay section with that info. Schedule: not mentioned. Benefits: not mentioned. So we omit those. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We must not repeat job title as heading. Not include Job ID. We must preserve all substantive info. Remove boilerplate. We need to decide what goes into each section. Potential sections: - About the role: could contain the summary paragraph: "This position will support the Scheduling team and provide coverage for operations across the Truckee, Tahoe City, and Incline Village locations. Bargaining Unit: EA Rate of Pay: $29.17hour + DOE Summary Serves as the primary point of contact for the community calling the District for a wide variety of questions and information requests. Answers calls from the hospital’s main telephone numbers and calls routed from the physician offices and departments for scheduling. Obtains authorizations for primary care and specialist consults, diagnostic imaging and other referrals as assigned." But we also have Pay separate. Maybe we put Pay separate. About the role could include location and bargaining unit and summary. Responsibilities: list of essential duties (the long list). We'll convert to

    • items. Qualifications: includes Minimum Education/Experience, Other Experience/Qualifications (skills). We'll list as
      • . We need to ensure we don't duplicate content. Let's extract: Location/Truckee etc: "This position will support the Scheduling team and provide coverage for operations across the Truckee, Tahoe City, and Incline Village locations." Bargaining Unit: EA Rate of Pay: $29.17hour + DOE (maybe missing space: $29.17/hour + DOE). We'll keep as given. Summary: "Serves as the primary point of contact for the community calling the District for a wide variety of questions and information requests. Answers calls from the hospital’s main telephone numbers and calls routed from the physician offices and departments for scheduling. Obtains authorizations for primary care and specialist consults, diagnostic imaging and other referrals as assigned." Then "Access Center tasks include:" then list: Scheduling, Pre-registration, E-verifying, Determining and collecting the patient’s out-of-pocket expenses (co-pays, deductibles, etc), Signing patients up for self-service options, Authorizations Then "Essential Duties And Responsibilities" then a long paragraph with many duties separated by periods. We'll split into list items each sentence. Qualifications: "To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions." Then "Supervisory Responsibilities No supervisory responsibilities" "Minimum Education/Experience No educational requirement and 6 months to 1 year of experience" "Required Licenses/Certifications None" "Other Experience/Qualifications Demonstrates clear, courteous and pleasant communication skills with appropriate usage of grammar, pronunciation.Excellent customer service skills.Self-motivated and goal oriented with the ability to multi-task.Team oriented.Positive, open-minded, and focused on continuous improvement.Ability to learn new processes, procedures and software programs quickly, while demonstrating attention to detail and accuracy.Analytical and problem solving skills.Navigate multiple applications simultaneously" We'll combine. Now produce HTML. We need to ensure we don't include boilerplate like EEO etc. Not present. We'll output:

        About the role

        This position will support the Scheduling team and provide coverage for operations across the Truckee, Tahoe City, and Incline Village locations. Bargaining Unit: EA. Rate of Pay: $29.17/hour + DOE. Serves as the primary point of contact for the community calling the District for a wide variety of questions and information requests. Answers calls from the hospital’s main telephone numbers and calls routed from the physician offices and departments for scheduling. Obtains authorizations for primary care and specialist consults, diagnostic imaging and other referrals as assigned.

        But we have Pay separate; maybe we include pay in About the role or separate Pay section. The rule: include Pay section only if posting actually states them. It does. So we should have a Pay section. However we also have the pay info in About the role; we could still include it there but better to have separate Pay section and maybe not duplicate. The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. If we put pay in both places, that's duplication but still preserving. Might be okay but better to avoid duplication. We could put pay in Pay section and not repeat in About the role. However About the role currently includes pay; we could remove it from there. But we need to preserve all substantive info; if we remove it from About the role, we still have it in Pay section, so it's preserved. So we can omit from About the role. Thus About the role: location, bargaining unit, summary. Pay section:

        Pay

        $29.17/hour + DOE

        Responsibilities: list. Qualifications: list. We need to ensure we don't include "Supervisory Responsibilities No supervisory responsibilities" as a heading; we can include as a list item under Qualifications maybe. Let's craft. Responsibilities items: we need to break the long paragraph into sensible bullets. Paragraph after "Essential Duties And Responsibilities": "Schedules appointments for primary care, specialty providers and hospital services. Provides information to callers including directions, addresses, telephone numbers, appointment times, etc.Answers incoming phone calls to hospital’s main numbers, routes calls appropriately.Serves as the primary point of contact for patients scheduling outpatient appointments in the District; may be via telephone or electronic means.Educates patients on various self-service programs offered by the District (patient portal, etc.).Works with patients, families, providers, clinical and non-clinical staff to coordinate the patient’s experience through-out the process of accessing healthcare.Interviews patients to effectively schedule and register.Collects, verifies and updates patient demographics, guarantor information and insurance information.Establishes eligibility and verifies benefits.Determines and collects co-pays and estimated out-of-pocket expense as appropriate.Advises patient and families of hospital financial policies.Refers to financial counselor as appropriate.Obtains authorizations if assigned.Follows established parameters to ensure procedures, treatments, tests, and appointments are scheduled with the required amount of time and with the appropriate resources.Articulates information in a manner that patients, guarantors, and family members understand.Key contributor to patient satisfaction initiatives by participating in process improvement activities as well as providing a high quality contact experience for the patient with every interaction.Provides the patient with preparation instructions pertinent to their service.Communicates regularly with patients, families, care-givers, providers, clinical and non-clinical staff as necessary for the completion of authorizations.Contacts the insurance company and requests authorization; documents completely the interaction in the Electronic Medical Record (EMR), including person(s) spoken to, outcome and any authorization numbers.Follows up with providers and patients regarding denied authorizations or requests for additional information.Reads and interprets provider notes in order to obtain authorization.Confirms medical necessity of ordered procedure(s).Prioritizes tasks and follows work through to completion.Follows established parameters to ensure procedures, treatments, tests, and appointments are authorized completely.Navigates multiple computer applications and interprets financial and insurance information.Performs to department productivity and accuracy expectations.Maintains and updates knowledge regarding all types of insurance and healthcare coverage, utilizing reference materials provided.Demonstrates System Values in performance and behavior.Complies with System policies and procedures.Other duties as may be assigned." We'll split each sentence (separated by period). Some sentences have no space after period; we need to handle. Let's manually split: 1. Schedules appointments for primary care, specialty providers and hospital services. 2. Provides information to callers including directions, addresses, telephone numbers, appointment times, etc. 3. Answers incoming phone calls to hospital’s main numbers, routes calls appropriately. 4. Serves as the primary point of contact for patients scheduling outpatient appointments in the District; may be via telephone or electronic means. 5. Educates patients on various self-service programs offered by the District (patient portal, etc.). 6. Works with patients, families, providers, clinical and non-clinical staff to coordinate the patient’s experience through-out the process of accessing healthcare. 7. Interviews patients to effectively schedule and register. 8. Collects, verifies and updates patient demographics, guarantor information and insurance information. 9. Establishes eligibility and verifies benefits. 10. Determines and collects co-pays and estimated out-of-pocket expense as appropriate. 11. Advises patient and families of hospital financial policies. 12. Refers to financial counselor as appropriate. 13. Obtains authorizations if assigned. 14. Follows established parameters to ensure procedures, treatments, tests, and appointments are scheduled with the required amount of time and with the appropriate resources. 15. Articulates information in a manner that patients, guarantors, and family members understand. 16. Key contributor to patient satisfaction initiatives by participating in process improvement activities as well as providing a high quality contact experience for the patient with every interaction. 17. Provides the patient with preparation instructions pertinent to their service. 18. Communicates regularly with patients, families, care-givers, providers, clinical and non-clinical staff as necessary for the completion of authorizations. 19. Contacts the insurance company and requests authorization; documents completely the interaction in the Electronic Medical Record (EMR), including person(s) spoken to, outcome and any authorization numbers. 20. Follows up with providers and patients regarding denied authorizations or requests for additional information. 21. Reads and interprets provider notes in order to obtain authorization. 22. Confirms medical necessity of ordered procedure(s). 23. Prioritizes tasks and follows work through to completion. 24. Follows established parameters to ensure procedures, treatments, tests, and appointments are authorized completely. 25. Navigates multiple computer applications and interprets financial and insurance information. 26. Performs to department productivity and accuracy expectations. 27. Maintains and updates knowledge regarding all types of insurance and healthcare coverage, utilizing reference materials provided. 28. Demonstrates System Values in performance and behavior. 29. Complies with System policies and procedures. 30. Other duties as may be assigned. Now Qualifications: We have: - Supervisory Responsibilities: No supervisory responsibilities - Minimum Education/Experience: No educational requirement and 6 months to 1 year of experience - Required Licenses/Certifications: None - Other Experience/Qualifications: list of skills. We'll make list items. Other Experience/Qualifications string: "Demonstrates clear, courteous and pleasant communication skills with appropriate usage of grammar, pronunciation.Excellent customer service skills.Self-motivated and goal oriented with the ability to multi-task.Team oriented.Positive, open-minded, and focused on continuous improvement.Ability to learn new processes, procedures and software programs quickly, while demonstrating attention to detail and accuracy.Analytical and problem solving skills.Navigate multiple

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