Patient Access Rep - Orthopedic Clinic - Full Time

Position Purpose

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

Key Responsibilities

• Par Customer Service and Patient Satisfaction
  • Provides excellent customer service, contributes to the overall satisfaction of the patient experience, and adheres to the Behavioral Expectations Agreement.
  • Promptly fields and/or directs incoming calls; responds to patient and/or staff inquiries.
  • Refers patient accounts to financial counselors when further explanation/education is needed (denied authorizations, out-of-pocket liabilities, coverage options, payment plans, etc.).
  • Consistently demonstrates a willingness to assist co-workers to support department efficiency and to support positive customer feedback goals.
  • Participates in on-going process improvement activities for the team.
• Registration/Admitting/Discharge of Patients
  • Demonstrates ability to preregister, register, schedule, reschedule, and discharge patients according to the defined guidelines.
  • Enters new patient data and/or verifies patient records are up to date, confirms the completeness of the electronic health record (EHR) and makes changes as necessary.
  • Verifies insurance eligibility and benefits within a timeframe determined by KHI.
  • Obtains pre-authorizations from third-party payers in accordance with payer requirements, when needed.
  • Sets up and manages co-payments, deductibles, allowances, etc. as instructed.
• Patient Processing
  • Accurately balances daily cash to include completion of daily cash log, bank deposit slip, and daily reports to Patient Financial Services.
  • Accurately utilizes insurance eligibility/audit tools and report/correct variances within the EMR.
  • Quality performance scores must meet defined goals.

Qualifications

• Demonstrates ability to multitask, prioritize appropriately, and manage time efficiently.
• Effective oral and interpersonal communication skills.
• Demonstrates ability to utilize a variety of technological resources (phone, computer hardware, various software programs, fax, scanner).

Required Education: High School Diploma or equivalent - must provide diploma or official transcripts upon offer of employment

Required Experience: Minimum of 1 year of experience working in a customer service position and/or office setting

Required Certification: American Heart Association BLS certification

Priorities: Previous experience in healthcare registration, scheduling, and/or authorizations

Special Position Requirements

Exposure Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues.

Work Requirements: Able to reach above and below shoulder level, lift, bend, kneel, squat, stand, walk, and sit for the full scheduled shift. Able to use telephone and computer software and hardware for most of the shift (90% of the day).