Patient Access PreAccess Schedgistration Specialist - 40 hrs/wk, 1st shift

Purpose of this Position

Completes accurate scheduling, pre-registration, financial screening and pre-service collection calls for tests/procedures performed at Blanchard Valley Health System. Reviews medical necessity, provides patient education relative to scheduled tests, obtains required signatures, provides information on hospital policies, registration, benefits, and patient rights & responsibilities. Works well with patients and departments to ensure proper customer service.

Job Duties/Responsibilities

• Duty 1: Efficiently schedules patients for requested services with exceptional accuracy via phone orders, faxed orders, Patient Portal and other wait lists. Educates all customers (office staff/patients) on the preparation for upcoming testing.
• Duty 2: PreRegisters patients. Using all Insurance verification tools, confirms active insurance coverage. Uses available reports/queues to address insurance discrepancies prior to service.
• Duty 3: Completes Medical Necessity review for all Medicare patients ensuring that an ABN is printed or needed DX obtained.
• Duty 4: Utilizes the electronic patient self-preregistration tool to reconcile demographic and insurance information the patient has submitted prior to their date of service.
• Duty 5: Runs the financial assistance screening tools to provide assistance including HCAP, Charity, and Medicaid when applicable. Sends applications to the appropriate care area.
• Duty 6: Scrubs all orders for completeness and accuracy and scans to the appropriate category in document imaging system.
• Duty 7: Provides the patient an estimated cost of their procedure (including Good Faith Estimate info to appropriate patient populations) and requests pre-payment and self-pay (remaining balance) payments. Informs patient of all payment options.
• Duty 8: Monitors all procedures for financial responsibility and pre-payment at all BV locations. Maintains reports/records. Gathers and documents patient deductible, out of pocket coinsurance and copay information and reviews all bad debt accounts.
• Duty 9: Practices effective phone communication with customers (i.e. uses customer name, listening to needs and keeping a positive tone of voice). Has a strong focus and commitment to Service Excellence and Patient Satisfaction.
• Duty 10: Acts as liaison between the facility and patient/family to resolve problems and/or address complaints.
• Duty 11: Participates in a variety of unit and hospital educational programs to maintain current skills and competency levels. Participates in and fully supports new hire and other department training and shadowing. Provides a positive learning environment and compassionate mentoring.
• Duty 12: Actively adheres to all policies of the department and organization. Is an active participant in department meetings, is engaged in process improvement initiatives and informs department Supervisor/Manager of inconsistencies that exist in the electronic health record.
• Duty 13: Performs all duties and responsibilities in a manner consistent with and supportive of the mission, vision and values of Blanchard Valley Health System.

Required Qualifications

• High School diploma or GED equivalent.
• Data entry and/or PC experience.
• Medical terminology coursework or knowledge.
• Exceptional customer service skills.
• Maintains confidentiality at all times.
• Ability to work remote and attend onsite meetings as needed.
• Ability to work at the computer for long periods.
• Skilled in keyboard skills.
• Ability to use the telephone to respond to customers, and the ability to use the computer and telephone simultaneously.
• Positive service-oriented interpersonal and communication skills required.
• Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
• The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status.
• Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures.

Preferred Qualifications

• Minimum of two years Registration, medical office or hospital experience.
• Associates degree in Healthcare related field.
• Knowledge of CPT Coding, ICD 9 Codes, and Medicare Reimbursement Issues.