Surgery Center Service Representative

Essential Duties And Responsibilities

• Manages registrations for patients for the CRSCVB; meets patient access scorecard standards by registering patients in <= 10 minutes maintaining a wait time of <= 10 minutes when applicable.
• Interviews and accurately collects patient information and demographics; meets patient access scorecard standards by meeting accuracy rate as defined in annual goals and ensuring accuracy in medical record selection.
• Uses knowledge to verify, review, and coordinate benefits on behalf of patients; meets Patient Access Scorecard expectations for insurance verification rate.
• Manages payments at point of service, conducts cash receipting, and posts payments; point of service collection expectations are on the patient access scorecard.
• Affords assistance to patients with financial clearance of accounts by communicating financial responsibility through estimates, setting up payment plans, and/or providing referrals to financial counselors.
• Manages accounts in order to meet Patient Access Scorecard standards of productivity. In addition to daily account authorization reviews; identifies high risk admissions/registrations and obtains complete necessary authorizations and notifications of admissions from patients; meets patient access scorecard standards by reducing denial rates.
• Affords assistance with training of new staff as well as shares departmental knowledge and provides assistive training with teammates.
• Manages scanning for the patients' medical record as required.
• Compiles, reviews, and manages weekly and monthly electronic reports as assigned by manager; makes financial edits preventing billing of accounts, corrects addresses or other demographic data for patients, or manages errors for other staff in order to successfully clear accounts.
• Provides courteous service to all stakeholders (patients, patient families, teammates, other department staff, etc.) by resolving stakeholder problems, responding to inquiries, and following-up in order to develop and strengthen customer relationships and maintain effective interdepartmental communication.

Scheduling

• Obtain detailed information to include: type of surgery, equipment needed, anesthesia requested, and preoperative testing required by surgeon.
• Cook up schedules with the Operating Room to ensure no lapses of productivity for center or the surgeon.
• Maintain accountability for scheduling surgery in an efficient manner to ensure surgeon productivity.
• Cook up continuity of care with programmatic coordinators.
• Communicate with all coordinators, staff, insurance companies, and physicians regarding changes in schedule and/or patient status.
• Phone triage patients for multiple conditions, and route them to the appropriate program.
• Serve on committees and assist other team members as requested by the supervisor.
• Maintain communication with the supervisor at least once a week to review financial performance targets as well as other projects defined by the Director.
• Enter all surgery scheduling into the practice's management system.
• Attend all required orientations, meetings, and in-services.
• Display a commitment to flexible work scheduling when necessary to ensure patient care.

Operations/Workflow

• Greet patients and visitors to the Center.
• Answer telephones.
• Update patient information.
• Print face sheets and labels.
• Obtains required signatures on proper paperwork.
• Is knowledgeable of various insurance plans and can explain benefits clearly to a patient.
• Is effective in asking for appropriate co-payments and deductibles; this is demonstrated by a high collection rate.
• Post payments and balance daily batch.
• Is aware of the different opportunities available.

Qualifications

• Minimum Required Education: High school diploma or equivalent required.
• Preferred Education: Knowledge of medical terminology and ICD preferred. Associate degree in a health care field preferred (Health Information Technology, Medical Assistant, etc.).
• Experience: Proficient and accurate data entry, typing skills. One year of current hospital or medical office experience required.
• Certificates, Licenses, Registrations: Certification as Medical Assistant, Nursing Assistant, Emergency Medical Technician, or Paramedic preferred. Certified Healthcare Access Associate (CHAA), Certified Professional Coder (CPC) or other HFMA, NAHAM or AAHAM recognized revenue cycle certification required within 12 months in position.