Patient Access Representative-ER-PerDiem

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
• 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.
• Floats to other work areas, as requested, and regularly works nights, weekends, holidays, and extended hours when needed.
• 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.
• Safeguards identified information are complete and scanned into patients’ electronic health record (EHR) (insurance cards, photo ID’s, physician orders, and other admission documents).
• Obtains signatures on all required forms.
• Demonstrates ability to manage 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.
• Verifies insurance eligibility and benefits within a timeframe determined by KHI and obtains pre-authorizations from third-party payers in accordance with payer requirements.
• Collections upfront co-pays, deductibles and coins securing deposits on self-pay and high accounts.
• Regularly works nights, weekends, holidays, and extended hours when needed.
• Lead PAR
• Mets all PAR requirements.
• Provides day to day leadership and supervision of PAR team members, trains and orients new hire PAR’s, and works with Supervisors to provide continuous training of existing staff.
• Performs QA audits of registrations, works account checks, and responds to account denials.
• Aids in the scheduling of staff to ensure appropriate coverage.
• Participates in the interviews for hiring new staff within the unit, as well as providing feedback to the PAR supervisors for performance evaluations.
• Identifies, supports, and manages process improvement initiatives for the team.
• Collaborates with management to assist in the day-to-day operations of the team.

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).

Education & Experience

• PAR: Minimum of 1 year of experience working in a customer service position and/or office setting.
• Lead PAR: Minimum of 1 year of registration or billing experience in a healthcare setting.

Certification

• American Heart Association BLS

Special Position Requirements

• The following Departments/Clinics also require DPS Level 1 Fingerprint Clearance Card: 8050 Resident Clinic, 6601 Joshua Tree Pediatrics, 6616 Urgent Care, 6600 Mountain Shadow Primary Care, 6605 Golden Valley Medical Center, 8110 Patient Access, 6504 Physician Services

Float Pool Preferences

• [Preferred attributes for the position which are not absolutely required in the minimum qualifications (i.e., multi-lingual, master’s degree)]

Previous Experience

• 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).