Job Details: Patient Access Rep I

Company: Seton Family of Hospitals – Our expanding network comprised of eight acute-care hospitals, three community health centers and four specialty care centers allows for numerous opportunities for growth for our associates.

Description: DCMC Admissions -Dell Children�s Medical Center -
Responsibilities:

1. Accountable for one particular scope of service such as:
a) Serving as a receptionist and/or a customer service representative.
b) Clinics Registration/processing one time patients only.
c) Inpatient or Outpatient services which may include but not limited to the following services: Radiology services, Pain Management, Diabetic Education, Day Surgery, Endoscopy, ADT transactions, etc.
d) Pre-registration.
e) Cashiering

2. Obtains demographic, insurance, and financial information from patient or guarantor. Enters information in computer system in an accurate manner.

3. Explains all required forms to the patient or guarantor and obtains the necessary signatures.

4. Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.

5. Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.

6. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required time frames.

7. Processes payments and generates the appropriate patient receipts.

8. Communicates in an effective and professional manner with Physicians, ancillary departments, nursing units, physicians� office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.

9. Adheres to all Seton Healthcare Network policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.

10. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization.

Minimum Qualifications
High school diploma or equivalent is required. Two (2) years prior experience in a medical business office, hospital, or other customer service setting is preferred.

Skills
Proficient typing (35 wpm minimum)/keyboarding skills are required.

Physical Demands
Sedentary (requires lifting 10 lbs, carrying small objects)
Balancing:............Rarely
Bending:...............Occasionally
Carrying:...............Occasionally
Climbing:.............Occasionally
Crawling:..............Rarely
Crouching:............Occasionally
FineDexterity:.......Occasionally
FootControls:.......Occasionally
Handing:..............Occasionally
Hearing:...............Frequently
Kneeling:.............Occasionally
Lifting:..................Occasionally
PushingPulling:.Occasionally
Reaching:............Occasionally
Sitting:...................Occasionally
Standing:..............Occasionally
Talking:................Frequently
Twisting:..............Occasionally
Vision:..................Continuously
Walking:...............Frequently

Work Environment
Involves no exposure to bloodborne pathogens as part of duties

Supervision Received
PATIENT ACCESS SUPERVISOR AND MANAGER
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Posting Date: Oct 9 08