Patient Access Rep

JOB SUMMARY AND SCOPE

The functionality of this position is to effectively and efficiently process all patients to all services in the hospital by maintaining front desk reception, switchboard, and registration in a courteous, professional manner. Patient education will be performed by the registration clerk in many areas including but not limited to: Free Care, Advanced Directives, Patient Consent, Patient Rights, Notice of Privacy Practice, and the Advanced Beneficiary Notice.

ESSENTIAL JOB FUNCTIONS

• Responsible for all aspects of switchboard operation:
• Process all inquiries and requests at front desk reception and switchboard efficiently which includes answering all incoming phone calls and transferring to appropriate departments 
• Maintain a current working knowledge of new and departing staff
• Record arrival time and registration time of all patients that present for services
• Maintain visitor sign in for Obstetrical patients
• Sort incoming patient mail by room number and deliver to appropriate nursing station. Re-address mail to discharged patients and put in outgoing mail.
• Unlock various offices and file cabinets, relocking at department closing
• Responsible for all aspects of outpatient and inpatient registration:
• Completion of all data screens on registration profile and verifying information for each date of service
• Assessment of patient’s insurance coverage including eligibility
• Maintain a current working knowledge of outpatient coverage issues and assessing medical necessity when applicable
• Adheres to all aspects of the POS policy as applies to IP and OP registrations.
• Prepare and explain Advanced Beneficiary Notices when applicable
• Completion of Medicare Secondary Payer Questionnaire on all Medicare patients
• Assist physician office staff in understanding National Coverage Policies
• Provide Notice of Privacy Practice and obtain patient signatures on hospital consent forms for each date of service including establishing a responsible party of patient when patient is unable to sign
• Verify outpatient orders and all required information
• Establish existence of an Advanced Directive
• Prepare all preoperative and surgery paperwork necessary to register patient as scheduled by Operation Room
• Recognize those patients who may qualify for Free Care and offer application
• Maintenance of supplies to perform job functions
• Adhere to departmental dress code
• Seeks out needed information by staying informed and involved by attending meetings, reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner.
• Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands
• Performs duties in a safe manner, in compliance with all safety policies and procedures
• Complies with the Code of Conduct and all appropriate policies and procedures
• Other duties, as assigned, that are relevant to the position and department

*DECH is an equal opportunity employer.

MINIMUM REQUIREMENTS

• High School Diploma or GED with on the job training
• Experience with various computer systems and typing
• Knowledgeable in medical terminology
• Knowledgeable in various health insurance plans
• Knowledgeable in daily operations of a business office and general office machines
• Ability to work independently as well as in a team setting, and performing under pressure and with periods of interruption
• Excellent communication and organizational skills

PHYSICAL EFFORT AND ENVIRONMENT

Sedentary: Occasionally lifts up to 10 pounds independently. Sits most of the time. Stands or walks briefly.

EXPOSURE RISK

Exposure Category III: Employee not reasonably expected to be at risk for exposure to blood borne pathogens.

QUALITY IMPROVEMENT

• Maintains current knowledge of the hospital-wide Quality Improvement Program.
• Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes.
• Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager.

COMPLIANCE

• Adheres to the federal, state, and local statutes and regulations.
• Adheres to the Compliance Program policies and procedures of Down East Community.
• Adheres to all Privacy and Security policies and procedures of Down East Community.
• Communicates any concern related to compliance issues to manager of department or Compliance Officer.
• Communicates any concern related to confidentiality issues to the Privacy Officer.