Patient Access Representative - Departmental Personnel Only - CCHS Employees Only Job
Cleveland Clinic - WARRENSVILLE HTS, OHIO
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| Patient Access Representative Reference TitleHR Use Only: Hospital: Cleveland Clinic East Market Facility: South Pointe Hospital Department: PATIENT ACCESS Job Code: B1508E Schedule: Part Time 40 hours or more Shift: Variable Hours: 630a-12mid Job Details: GENERAL SUMMARY: Provides positive patient encounter as first impression of the hospital. Ensures currency of medical, demographic, insurance, and financial information through interviews and verification of insurance benefits. Uses CCHS - ER systems/applications to capture and communicate data to Health Information systems, patient care departments, and Patient Financial Services for follow-up after billing. Output generates automatic electronic billing of the patient account. Accurately identifies patients and obtains consent signatures required for clinical treatment. Enters appropriate diagnosis, procedure, and physician information for medical record. Communicates with insurance companies and physicians regarding coverage and authorization requirements. Uses on-line, web based, and telecommunication verification systems to ensure accuracy and to expedite payment. Collects co-pays and deductibles. Ensures compliance with local, state, federal, third party EMTALA, and JCAHO regulations. Performs all ADT functions necessary to facilitate effective utilization of beds. MINIMUM QUALIFICATIONS: Education, Knowledge, Skills and Abilities · High School Diploma required; college or business school education desired. · Must have excellent verbal persuasion, communication and organizational skills Medical terminology or the successful completion of course within one year of employment required. · Basic PC software application knowledge and ability to use multiple data systems preferred. · Satisfactory completion of data entry/10-key timed tests within defined keystroke/error parameters required. · Extensive knowledge of billing and insurance preferred. · Must possess ability to work effectively in complex environment of a large health system with multiple constituencies. Required Length and Type of Experience · Two years customer service experience dealing with the public on the phone or in person required. · Two years patient financial services background (registration, billing, medical office, customer service, follow-up, or collections) preferred. Required Physical and Environmental Demands · Must be able to bend, squat, and sit for extended periods of time. · Must be able to lift and carry equipment and products weighing up to 25 pounds. · Must possess manual dexterity to type and use a computer. · Walking required for patient transport/escort, delivery of paperwork to departments and rounding of Patient Access work areas. Category: Clerical/Administrative Support |