CentraState Healthcare System

  • Access Services Associate - Insurance Verification

    Posted Date 1 week ago(8/6/2018 9:16 AM)
    ID
    2018-8485
    Position Type
    Per Diem
    Location
    CentraState Medical Center
    Shift
    Day
    Work Schedule
    8A-4P
  • Overview

    Schedules and registers according to established procedures in assigned are (Admitting, Outpatient, Emergency Department, Central Access OR).

     

    If functioning as the Access Services Cashier, confirms all interdepartmental monies received, in the form of cash, checks and credit card requests and processes according to established procedures. Maintains all monies received in a secure environment.

    Responsibilities

    • Registers, schedules and verifies each account in hospital registration system following all departmental procedures to ensure compliance with state and federal regulations.
    • Clearly documents in computer system all communication with patients, family members, insurance companies and physicians. Documents any exceptions to standard procedure.
    • Follows federal and state standards and complies with all regulations including accurate completion the MSP form and DOBI consent.
    • Accurately utilizes Imaging system by scanning all paperwork into correct document and folder during registration, scheduling and verification process.
    • Completes quality checks and reviews each registration and verification for correct information. Seeks assistance and plans corrective action.
    • Fosters good communication between the ED, clinical nurse units, Infection Control, Nurse Managers and physician offices to insure proper and timely placement of the patient.
    • Accurately completes registration of accounts while maintaining flow of accurate paperwork. Always strives towards department goal of pre-registrations 3 weeks in advance.
    • Contacts insurance companies after hours and on weekends via phone or web site to ensure proper pre-certification of surgeries/procedures.
    • Operates the bed control desk in an efficient and effective manner to place patients in appropriate beds ensuring resources are maximized.
    • Understands and monitors patient throughput by closely monitoring discharges and admissions in multiple software systems.
    • Functions as a strong advocate to facilitate patient movement. Functions as a strong advocate to facilitate patient movement.
    • Works closely with Nursing Supervisors so that patients are placed properly on the weekend shifts when limited resources are available.
    • Obtains and determines the coordination of benefits and accurately inputs into the computer software system following industry standards and departmental procedure.
    • Completes departmental quality checks to ensure each booking is completed appropriately. Makes necessary corrections and escalates if necessary.
    • All admitting access associates must handle all phases of the admitting department processes.
    • Completes bedside registration accurately and timely to ensure quality and privacy for positive clinical outcomes utilizing laptop computers.
    • Is responsible for relieving the ED receptionist during breaks for lunch or dinner. This necessitates handling the phones and the multitude of receptionist duties including calling codes.
    • Is responsible for texting/documenting anything unusual about the registration that may have an impact for the Verification or Billing departments.
    • Supports all policies pertaining to ED Registration including the obtaining of consents and administrative consent when necessary.
    • Maintains ED Registration hardware/batteries by verifying equipment is plugged in when appropriate and taking necessary action for support when needed.
    • Functions as a support part of the ED clinical team reacting urgently and appropriately to the needs of the ED clinical staff.
    • Accurately enters all diagnosis codes into the registration system. Obtains patient signatures on ABN forms for those charts with missing codes. Follows up with physician offices to obtain missing codes as needed.
    • Accurately edits/completes all "paper only" registrations (FP labs, VNAs, Monmouth Crossing pre-registrations, Occupational Health) as time permits, updating all necessary information as needed. Scans all appropriate paperwork into the Siemens system and forwards completed packets to lab.
    • Periodically checks messages on the Outpatient Pre-registration line and follows up with patients as needed.
    • Contacts patients scheduled for radiation oncology in a timely manner and completes accurate pre-registrations.
    • Handles all faxes in a timely manner, taking any necessary action, including filing and pre registering.
    • Provides personalized service to physicians for specific diagnostic procedures.
    • Accurately processes, records and reviews payments received from patients including checks and credit card payment stubs. Maintains accurate records of payments received and payment plans to be processed.
    • Accurately processes and records cash/check deposits received from various hospital departments and provides appropriate receipt to department.
    • Ensures appropriate documentation is received for all petty cash requests and maintains petty cash drawer by following department procedure.
    • Balances cash drawer at end of shift, prepares daily deposit, scans all documents. Posts all patient payments the following day to correct patient account.
    • Investigates and responds to patient billing inquiries, provides accurate and timely information for patients/family members and clearly documents correspondence in the billing system.
    • Maintains integrity of hospital safe.
    • Accurately utilizes cash pro system for electronic check deposit. Daily tallies cashier and credit department electronic deposits and provides correct documentation to accounting.

     

     

    Qualifications

    Education:

    High School Diploma or Equivalent required.

     

    Work Experience:

    Previous hospital experience in scheduling, registration or billing preferred.

     

    Required Knowledge and Skills:

    Knowledge of medical terminology and strong customer service skills.

    Physical Demands

    Working Conditions:

    Normal office environment with possible exposure to infectious patients.

     

    Exposure:

    Potential for exposure to blood and/or body fluids.

     

    Physical Demands:

    Sitting - Frequently

    Standing/Walking - Occasionally

    Kneeling/Stooping - Never

    Bending/Climbing - Never

    Reaching above shoulder, at waist or below waist - Rarely

    Lifting/Pushing or Pulling up to 40 pounds - Occasionally

    Lifting/Pushing or Pulling over 40 pounds - Never

    Typing/Filing - Frequently 

     

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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