Role: Non-Clinical – Administrative Patient Access Representative
Location: 2401 West Belvedere Avenue Baltimore, MD 21215 (Onsite)
Job Type: Contract
Description:
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.
Tasks:
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.
Tasks:
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. Shedules appointments into computized 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.
Tasks:
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.
Medical Practice Rep-Sinai Physician Partners 2
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
Tasks:
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.
Tasks:
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 adherance 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.
Level of Supervision Required:
Contacts:
Type of Supervisory Responsibilities:
Work is reviewed daily
Regular contacts, within or outside the Company to give or get information. Require courtesy, tact, and some knowledge of Company procedures.
None
Qualifications/Requirements
Education/Knowledge: Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field
Education Discipline:
Experience:
Demonstrated knowledge of medical terminology obtained through formal training or previous experience.
1-3 years
Technical/Clinical Skills (Usage):
IDX (Frequently)
Medical Practice Rep-Sina, Phys1c1an Partners 3
Standard Office Equipment (Frequently) Medical terminology (Frequently)
Knowledge of third party payors (Frequently) Performs credit card transactions (Frequently)
Ability to effectively maneuver in the Internet (Frequently) Excellent customer service/IPR skills (Frequently) Excellent organizational skills (N/A)
Microsoft Office Suite (Frequently) Basic computer skills (Frequently) Cerner (Frequently)
Healthstream (Occasionally)
Certifications, Licenses, Registrations:
None
Communication Skills and Abilities:
Demonstrates the ability to follow verbal instructions. Demonstrates the ability to communicate effectively verbally. Demonstrates the ability to communicate effectively in writing.
Physical Demands and Working Environment
Physical Demands:
Other - May assist with moving or restraining patients in conjunction with treatment requirements.
Work Environment:
Normal Environment
- Normal light, air, andspace in work environment.
Other - May assist with moving disabled patients during emergencies.
Additional Comments
Two years’ experience in professional or Hospital billing.
Required - Medical/Religious Exemptions Only
Required - Medical Exemptions Only