Overview
Join to apply for the Rehab Patient Access Representative role at Cooley Dickinson Hospital.
Site: Cooley Dickinson Hospital, Inc.
Job Summary
Shift: 40 HOURS, Day Shift
The Patient Access Representative is responsible for admitting in-patients, out-patients, emergency patients, and clinic patients. This includes cashiering and pre-certification verification, safekeeping of patient valuables, maintaining petty cash, assisting in the resolution of admission, billing, or other problems related to the collection of an account balance, and maintaining Patient Access Services Department records and statistics. This position reports to the Patient Access Services Supervisor and operates within established organizational and departmental policies and procedures.
Qualifications
MINIMUM REQUIREMENTS:
* High school diploma or equivalent required
* One (1) to three (3) years administrative and in-person customer service experience required, preferably in a health care setting; patient access services experience preferred
* Familiarity with and understanding of hospital admissions, patient account systems, and major health insurers and general coverage issues preferred
* Previous cashiering experience preferred
* Demonstrated typing proficiency, personal computer, and CRT experience required; Enterprise Scheduling System experience preferred
* Demonstrated interpersonal, oral and written communication skills required
Essential Job Functions
* Interview incoming patients or their representative to obtain all pertinent and financial information required for the proper preparation of all forms and records. Obtain required signatures on the financial agreements form.
* Perform admitting duties and register patients via hospital computer system. Enter daily orders/charges via the Order Entry System on each outpatient and inpatient as required. Receive orders from patient care units and respond accordingly.
* Assign patients to a room based on diagnosis, precautions, and type of accommodations available or requested. Escort or arrange transportation to appropriate room. Transfer and discharge patients as requested by Nursing Service.
* Perform scheduling duties. Receive referral information from patients, physicians, and therapists. Schedule patients according to current systems and keep all systems and involved parties up-to-date. Track cancellations and no-shows.
* Interact effectively with medical and nursing staff in the Emergency Department to gather complete data for clinical and fiscal responsibilities; follow manual procedures when computer system is not functioning properly.
* Accept pre-admission orders from physicians and schedule pre-admission testing in accordance with Hospital regulations and guidelines.
* Schedule all elective admissions. Notify physician’s office about insurance guidelines and prior approval needs. Schedule necessary pre-admission appointments and patient assessments.
* Call patients at home to verify information prior to admission and call physician’s office if a patient has not arrived for pre-admission visit. Visit patients or family on Hospital unit if necessary to complete data.
* Stay current with new admission regulations of public and private insurance companies (e.g., Medicare pre-admission guidelines, Master Health Plus prior approval).
* Explain hospital and insurance regulations regarding surgery, visiting hours, charges, pre-admission testing, and clinic appointment verification to patients; listen to complaints and escalate as needed.
* Transmit required information to appropriate departments and utilize available systems to fax or access reports as required.
* Provide patient information in accordance with privacy regulations; distribute mandated information to patients.
* Verify benefits on designated patient types and assist with pre-certifications with insurance carriers when necessary; notify patients or medical personnel of outcomes.
* Receive payments from patients; assist with short form Free Care applications.
* Post and balance all hospital receipts; prepare bank deposits; maintain petty cash; custodian of patients’ valuables.
* Maintain confidentiality of all patients’ records; interface with medical records as required.
* Maintain census statistics and index of beds; requisition office supplies as needed.
* Provide coverage for extra shifts and travel to satellite facilities as needed; maintain regular attendance.
* Adhere to hospital and departmental policies, safety, compliance, and quality improvement standards; meet annual competencies and retraining requirements; attend meetings as required.
* Perform other duties as requested.
Work Details
* Remote Type: Onsite
* Work Location: 8 Atwood Drive
* Scheduled Weekly Hours: 40
* Employee Type: Regular
* Work Shift: Day (United States of America)
* Pay Range: $19.42 - $27.74/Hourly
* Grade: 3
EEO Statement: Cooley Dickinson Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other legally protected status. Reasonable accommodations are provided to applicants with disabilities in the job application or interview process as needed. For accommodations, contact Human Resources at (857) 282-7642.
Mass General Brigham Competency Framework and related information are provided for context and compliance; details are described in the official policy documents.
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