Patient Access Rep Float

Job Summary:

The Patient Access Float Representative performs the duties of all the Patient Access Representative functions throughout the hospital and clinic setting, including PBX/IA, Central Registration, Emergency, Diagnostic Imaging, Insurance Verification, Outpatient Clinic Registration, Surgery Registration and Rehab Services. Will Pre-Register encounters, verifying insurance eligibility and valid authorizations. If necessary may be asked to obtain Authorization for services in the clinics. This position requires a high degree of flexibility due to the fact that the Float position may be scheduled to fill all of the above positions as needed for vacation relief, sick calls and other vacancies as they might arise, including times of high patient census. This position differs from a “per diem” position, in that it is not an option to refuse the shift you are being requested to work. The Float position also differs from “per diem” because the job entitles the employee to all benefits including Paid Time Off, Sick Leave, Medical, Dental and Vision, Life Insurance and Retirement benefits. The individual(s) filling this position would be able to schedule time off through the department manager, which would not constitute refusal of work hours. If the individual filling this position cannot fulfill the duties listed above, it would become necessary to change status to “per diem” which would mean the benefits listed above would be terminated, The Patient Access Float Representative will perform other duties as assigned or required by the Director of Patient Access or Patient Access Manager.

Job Relationships:

1. Directly responsible to Patient Access Manager and Director of Patient Access or their designees
2. Works closely with hospital district leadership and departments as well as internal and external customers.

Occupational Hazards:

Works in the general hospital setting. May be exposed to blood, body fluids, or tissues as well as patients in varying stages of infectious states.

Samples of Duties:

The information listed below is meant to serve as samples of job duties and responsibilities for positions in this classification. This list is neither inclusive nor exclusive, but indicative of several types of duties performed.

• Work all the PA registration desks/work flows within the hospital and the Insurance Verification desk
• Receive and interview incoming patients or their representative to obtain pertinent data and insurance information (**request for insurance information delayed for ED patients to comply with EMTALA)
• Accurate and complete input of patient’s information into the HIS, prepares patient’s identification wristbands, forms and labels and complies the patient chart
• Obtaining necessary signatures required in the admission process, such as consent for treatment and insurance forms
• Schedule and pre-register outpatient appointments per practitioner orders, for a variety of departments. Verify that authorizations have been obtained when required by the patient’s insurer. Enter appropriate authorization information into the payer tab and the notes of the patient’s visit. Check on eligibility and benefits, runs POSs and ABNs as necessary
• Does basic patient financial counseling for self-pay patients and refers them to the Credit and Billing Office as appropriate.
• Transition patients in the EHR from one status, service, accommodation, and/or room to another per physician orders
• Maintain a cash drawer, balancing at the beginning and end of shift. Open, balance and apply Charge and Cash batches in the EHR and prepares deposits for AR. Collect money for meal tickets and other services. Process petty cash. Take POS payments for patient’s responsibility and posts to the correct patient visit
• Scan chart documents including physician orders, Photo ID and Insurance cards via the desktop scanner and verifies that they show in the EHR before putting any scanned documents in the shred box
• Cross train to the ED Tech desk and assists the ED Triage nurse when required
• Answer and screens incoming and in-house calls, transferring calls to the proper department extension number or holding calls as necessary. Identifies self by name when answering a phone
• Cross train to other registration areas in the Inpatient area and Outpatient Clinics including Diagnostic Imaging, Rehab services, and Primary and Specialty Clinic offices.
• Answer and screen incoming and in-house calls, transfer calls to the proper department extension number or holding calls as necessary. Identify self by name when answering a phone
• Page all codes (pertaining to the Rainbow Chart) and assists with other page requests
• Greet and direct patients, visitors, vendors to the proper location
• Process all outgoing mail and sorts and delivers all incoming mail as directed
• Schedule, answer phones in the call center, work clinical pools, and document in revenue cycle.
• Reconcile the scheduled visits daily (reschedules or cancels “no show” visits)
• Adhere to the policies and procedures and guideline of the hospital and department, including representing the hospital in a professional manner
• Report unusual or abnormal activity to the appropriate person or department
• Accountable for the accuracy of all data in the patient visit
• Correctly register the patient in the correct Department, ensuring the correct service has been chosen
• Complete the MSP questionnaire for every Medicare patient visit.
• Verify that accident information is entered as required for all visits pertaining to an injury
• Run the eligibility check for all Medicaid coverage at the time of the pre-reg and verifies/updates the accuracy of the insurance plan code. Reruns the eligibility check on the date of service prior to the patient’s arrival to verify the coverage has not changed. Enters the eligibility message from the POS and scans the POS into the correct encounter.
• Create and maintain work comp Dr. First and PR2s in the U drive for clinic use.
• Admit the visit as the COA is signed
• Reconcile the scheduled visits daily (reschedules or cancels “no show” visits)
• If stationed in the Rehabilitation Office, will assist in scheduling appointments with knowledge and understanding of department services and systems, will prepare, update and fill out all department patient forms. Pre-registered and verify patient demographics including verifying eligibility of insurance benefits, confirming authorization has been obtained.
• If stationed in the Orthopedic clinic, will assist in calling worker’s compensation companies and obtain authorizations for work comp visits, studies and procedures. Pre-registered and verify patient demographics including verifying eligibility of insurance benefits, confirming authorization has been obtained.
• Other duties as assigned.

Knowledge, Skills and Abilities:

Knowledge of:

• Modern office equipment and computer programs;
• NIHD Patient Access department practices and procedures;
• Conflict resolution practices;
• The Mission, Vision, and Values of Northern Inyo Healthcare District;
• NIHD policies and procedures, including Compliance Program, Code of Conduct, and Confidentiality standards;
• NIHD safety policies and procedures, including the Rainbow Chart, Employee Health, and Infection Prevention standards;

Skills/Abilities to:

• Perform work tasks under variable pressures;
• Work in a multi-task environment and accept interruptions while performing duties;
• Problem solve and analyze in the work environment;
• Communicate regularly and effectively, both verbally and in writing with department leadership, NIHD staff and the public;
• Develop flexible and efficient time management and prioritization;
• Establish and maintain professional working relationships with NIHD staff at all levels as well as the public;
• Develop and maintain a high degree of maturity, integrity, and good judgement.

Minimum Qualifications:

Preferred:

• One year of experience in hospital or medical office,
• High volume customer service experience
• Experience with multiline phones
• Receptionist/clerical experience
• Bilingual (Spanish).

* After minimum of 6 months, PA Float may promote to a PA Level III, based on knowledge, competencies. Competencies must be validated

This position is represented