Care Access Associate - Oncology Infusion, University Commons - University Hospital

USA Health is transforming medicine along the Gulf Coast to care for the unique needs of our community. We are changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms, offering patients convenient access to innovative treatments and advancements that improve health and overall well-being.

Responsibilities

• Call patients to remind them of scheduled appointments, reschedule 'no show' appointments, and verify demographic information for billing purposes.
• Prepare charts and encounter tickets for scheduled clinics in accordance with written policies and guidelines.
• Register patients accurately and maintain demographic information in the electronic health record (EHR).
• Greet patients and visitors professionally and courteously.
• Schedule, reschedule, and confirm patient appointments.
• Collaborate with providers, nursing staff, and other departments to ensure seamless patient access and care coordination.
• Obtain demographic and insurance information.
• Verify insurance eligibility, benefits, and prior authorization requirements.
• Obtain insurance and medical records release authorization in accordance with HCFA guidelines and Risk Management policies.
• Check patients into clinic and notify them of non-covered services being rendered.
• Check patients out of clinic and review encounter tickets for completeness and accuracy of CPT and ICD-9 codes; follow up with providers when appropriate coding end documents are not available.
• Key all charges into the computerized billing system.
• Collect patient co-payments or balances due on account and enter payments into the system.
• Answer patients' inquiries regarding fees and payments.
• Print bills on demand for patients requesting them at time of service.
• Track encounter tickets daily to ensure all clinical activities are posted, 'no show' and 'canceled' patients are correctly recorded, and charges, payments, and deposits balance.
• Schedule patient appointments for faculty and other medical providers in accordance with written policies and guidelines.
• Answer telephone inquiries and provide basic information regarding physician qualifications, available appointment times, directions, and billing requirements.
• Screen telephone calls and connect patients to staff most qualified to handle inquiries outside the scope of this position (e.g., medical, legal, compliance issues).
• Verify referral authorizations for clinical activities.
• Generate referral authorization requests to other specialists following written policies and procedures.
• Maintain medical records, file clinical data, referrals, inpatient records, and test results daily.
• Process all medical records requests, disability forms, and subpoenaed records according to HIPAA and Risk Management guidelines and policies.
• Utilize the health network information system for patient registration, scheduling, check-in/check-out, and collecting copayments, deductibles, and other patient financial responsibilities following appropriate cash handling policies.
• Maintain confidentiality of patient information in accordance with HIPAA regulations.
• Complete all mandatory department, educational, and hospital requirements.
• Adhere to current Infection Control and Safety Standards.
• Regular and prompt attendance; ability to work schedule as defined and overtime as required.
• Perform related duties as assigned.

Requirements

• High School Diploma or equivalent and 1 year of clerical experience in an access center, customer service, or healthcare setting.
• Experience with Electronic Medical Records (preferred).
• Comparable combination of education and experience may substitute for the above requirements.

Skills

• Excellent customer service and communication skills.
• Strong organizational and multitasking abilities.
• Knowledge of medical terminology and healthcare workflows.
• Understanding of insurance verification and authorization processes.
• Proficiency with Microsoft Office and healthcare software applications.
• Ability to maintain confidentiality and professionalism.
• Strong problem-solving and conflict-resolution skills.
• Ability to work effectively in a fast-paced healthcare environment.

Benefits

Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.