Access Service Rep-Patient Placement - Centralized PAS Support - Spectrum Center Blvd - Evenings and Nights - Per Diem

What You Will Do

• Obtains and verifies patient demographic, visit, and financial information in a manner that facilitates departmental efficiencies, maximum financial reimbursement, and promotes premier customer service.
• Places patients via computer to assigned medical, surgical, cardiac, and critical care beds according to the Bed Protocol.
• Communicates to the receiving and transferring floors/departments via computer system and telephone system.
• Accurately listens and responds appropriately to requests from physicians, inter-departments, and peers.
• Utilizes all critical resources within the organization to expedite patient room assignment.
• Ensures all paperwork and computer entry is checked for accuracy.
• Gives high priority to customer service and complete customer satisfaction.
• Covers weekend shifts and holidays.

Required Qualifications

• 5 Years Hospital revenue cycle experience to include: admitting, pre billing, pre verification, or accounts receivable follow up.
• H.S. Diploma or Equivalent.
• Local, State, and Federal regulations governing registration/billing activities including JCAHO, Title XXII, Medicare and Medi-Cal regulations.
• IDC-9, and CPT 4 coding experience.
• Certified Revenue Cycle Representative (CRCR) - HFMA (Preferred).

Essential Functions

• Billing:
• Completes all functions required to process billing of all hospital visits by producing a prompt, clean bill drop 4-7 days post patient discharge.
• Participates in the achievement of team billing goals through timely release of billable accounts and release of series bills.
• Completes accurate demographic data, including validation or insurance benefits for each admission.
• Validates accurate orders in Cerner to ensure appropriate patient type and accommodation codes are selected.
• Complete and accurate insurance selection to include the completion of follow-up questions, notifications are made to payors within 24 hours.
• Insurance/physician notification – documented accurately in patient visit and updated in insurance follow up questions.
• Screens accounts and make appropriate referrals to FC or On site staff for follow up on unfunded patients.
• Screens all Medicare inpatient admissions for 72-hour outpatient overlap.
• Complies with all rules and regulations governing Medicare and Medi-Cal billing.
• Customer Service:
• Receives and resolves incoming calls and instant notifications for the Centralized Patient Placement Center Department reflecting the Mission, Values and Philosophy of Sharp HealthCare.
• Demonstrates exemplary customer service and conducts calls using scripting.
• Accurately documents the patient's visit in appropriate computer systems for all pertinent facts, information and resolutions.
• Consistently follows all HIPAA requirements.
• Demonstrates overall system knowledge by accurate use of computer systems.
• Strives to assure customer satisfaction with every encounter.
• Department Production:
• Contributes proportionately to Department production.
• Offers to assist others and asks for assistance in completion of assignments, as needed.
• Prioritizes effectively, keeps management informed of backlogs and promotes a team approach in completion of job duties.
• Monitor all visits in TeleTracking for timely placement and accurate assignment of insurance and accommodation type.
• Contact hospital departments such as Medical Records, Utilization Review, pre billing, financial counselors or external review organizations to resolve any billing or authorization delays.
• Provide Team Leader and or manager with any account issues that were unresolved.
• Problem Solving:
• Demonstrates efficiency, organizational and multitasking skills.
• Must have the ability to work in a fast-paced environment with a positive attitude toward all professional contacts.
• Must have the ability to use multi-line telephones and view multiple screens with multiple applications running.
• Coordinates with other Patient access service departments, surgery, emergency, nursing units, and physicians to facilitate efficient bed placement.
• Critical thinking skills.
• Conflict resolution - seeks appropriate win/win solutions.
• Professional Development:
• Accepts instruction, coaching and counseling in a positive productive manner.
• Identifies own need for skill development and pursues training opportunities.
• Teamwork:
• Demonstrates teamwork and cooperation through positive and supportive communication regarding Department changes, goals, policies and procedures.
• Promotes a positive work environment by respecting others, being honest, fair, and consistent.
• Takes responsibility for Department morale, and involves management accordingly when issues that affect morale arise.
• Asks necessary questions regarding new ideas or changes to facilitate a positive reaction and support for innovation.
• Bridges interpersonal differences and cooperates with other employees.
• Accepts responsibility for own actions, personal growth, and development.
• Attends and participates in regularly scheduled staff meetings and training.
• Assists team members with outstanding insurance notification and verifications related to patients that are being placed or transferred.