Job Role : Non-Clinical - Administrative - Patient Access Representative
Job Location : 2411 W Belvedere Ave Baltimore, MD 21215
Job Tenure : 3+ Months
Descriptions-
The shift will be Monday – Friday 8:00am-430pm.
Location: 2411 W Belvedere Ave | Mower Medical Office Building #305
**candidates must have surgical scheduling experience**
Position Summary:
Performs registration and scheduling of outpatient appointments, charge entry, collection of co-pays and medical records functions. May perform referrals.
Essential Functions:
Billing/Financial - Optimizes facility and professional collections
-Collects co-pays and fees for facility and professional services from patient/guarantor according to established Hospital and faculty practice/departmental policies and procedures.
-Balances and closes all payment batches at the end of the day.
-Reconciles cash drawer on a daily basis. Prepares and submits Hospital and faculty practice deposits in accordance with established Hospital and faculty practice/departmental policies and procedures.
-Verifies patient insurance coverage.
-Obtains facility and professional services authorizations; may assist patients with obtaining specialty referrals. Communicates facility and professional co-payment or other balance due information to patients/guarantor.
-Abstracts and copies information from patient records in response to documentation requests.
Registration - Performs a complete registration of patients.
-Interviews patients to obtain correct demographic and insurance information. Verifies insurance and obtains authorizations to insure proper billing and collections. Inputs a complete patient registration into a computerized registration system.
-Reviews completed registration with patient; assists patient with the signing of admission forms and other forms that may be required for department.
-Notifies provider of patient's arrival.
-Prepares admission packet of forms and labels for provider. Schedules appointments into computer systems.
-May perform referrals.
Medical Records - Pulls and refiles records, files loose reports and other documents in the records, performs file maintenance in the file area. Processes release of medical records information. Answers telephone inquiries.
-Prepares and maintains accurate and complete records for outpatients; active, discontinued, and discharged
-Sorts and places progress notes, lab slips in chart and prepares notes to be sent to Health Information Department.
-Pulls and re-files charts needed for patient visits or related needs, and processes charts for microfilming.
-Reviews charts periodically for completeness and accuracy to ensure proper maintenance; assures medical records are maintained in accordance with accreditation standards, obtains MEC signature.
-Distributes and processes all information requests received in timely manner; logs records; follows up on records signed out, requesting return when appropriate. Handles walk-in requests for release of medical records; obtains appropriate authorizations for release.
Charge Entry/Abstract - Professional charge entry
-Abstracts and copies information from patient records in response to documentation requests.
-Reviews patient encounter forms to ensure accuracy and completeness prior to charge entry; consults with provider to obtain incomplete and/or missing data; verifies CPT/CDM/ICD-9 coding with designated personnel.
-Enters charges for professional and technical services into computerized billing systems. Balances and closes all charge batches at the end of the day.
Customer Service - Ensures that all customers receive exemplary service. Serves as a patient/customer advocate when needed.
-Demonstrates empathy and understanding of patient/customer concerns by listening carefully and responding appropriately.
-Exceed patient/customer needs by anticipating, identifying and responding to such needs in a prompt and courteous manner.
-Focuses on what can be done to improve situations for the patient, co-worker and other customers. Keeps patients/customers informed, explain delays, and provide clear and concise information.
-Maintains patient confidentiality; respects the privacy and needs of all patients; continually demonstrates actions that indicate an understanding of patient rights.
-Portrays a positive organizational image through adherence to dress code and maintaining a clean work environment.
-Recognizes everyone, including patients, visitors and co-workers as customers and treats them with dignity, courtesy and respect.
-Works at maintaining a good rapport and appropriate departmental relationships with all patient care personnel, promotes a spirit of cooperation through frequent communication.
-Demonstrates knowledge of and behaviors consistent with standards of conduct and code of excellence. Acts in a way that shows sensitivity for confidentiality, integrity and respect for diversity.
Qualifications/Requirements:
- Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field
- Demonstrated knowledge of medical terminology obtained through formal training or previous experience.
- 1-3 years' experience