Patient Access Rep

Company: Driscoll Children's Hospital
Location: Edinburg
Posted on: May 21, 2023

Job Description:

Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

Essential Duties and Responsibilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

The above statements should be included on all job descriptions.

List the job's essential or most important functions and responsibilities. Include all important aspects of the jobwhether performed daily, weekly, monthly, or annually; and any that occur at irregular intervals. Standard functions listed below should be included on all job descriptions.

• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Adheres and complies with customer service standards and dress code as set forth by the hospital and the department.
  
  Customer Service Duties
  
  • Answers the department telephone immediately or within three rings utilizing courtesy and patience
  • Listens to customer needs and takes appropriate action as indicated
  • Respond to urgent emails and voicemails promptly
    • Gather patient demographic and financial information in a kind and courteous manner
    • Document telephone encounters.
    • Call patients to confirm appointment times and offer any other pertinent information such as out of pocket expense, education, directions, parking information, etc.
    • Conduct warm transfers as needed
    • Respond to urgent emails and voicemails promptly, and respond to non-urgent emails and voicemails at the end of the day
      • Place outbound calls to referring providers or guardians (for self-referrals) to obtain missing and validate existing information
      • Facilitate referral intake
      • Attempt to reach patient guardian to communicate any pre-visit instructions as necessary
      • Complete any additional ancillary tasks
        Patient Accounting Duties
        
        • Accurately create patient encounter in patient accounting systems utilizing the appropriate patient search criteria and interview method
        • Verify patient's insurance benefit and document findings, this process should be completed in the appropriate timeframe for the service being provided
        • Refer cases for financial screening as indicated
        • Complete all authorization procurement work functions as indicated
        • Accurately collect and enter patient demographics into patient accounting systems as indicated
        • Populate referral data elements into Epic Referral Record as indicated
        • Complete all pre-service work functions on items in the Epic workqueue in accordance with defined policies and procedures
        • Complete documentation in Epic according to Driscoll Health System and department documentation guidelines
        • Collect, submit and file documents as appropriate
          Quality Assurance Duties
          
          • Review schedule/pre-registrations/registrations to identify potential duplicate medical record numbers.
          • Update data discrepancies in Epic.
          • Identify patients with multiple same day visits to match demographic and insurance data for each pre-registration.
          • Review patient demographic and financial data to ensure accuracy
          • Validate verification and documentation of insurance eligibility and coverage for anticipated procedures.
          • Validate insurance authorizations was obtained from referring physicians and payors when necessary/appropriate.
          • Reviews pre-registration list for cancellations and notify department as indicated.
          • Identify patients that are missing any pre-registration items
          • Check for referral minimum data set elements
            Patient Financial Duties
            
            • Review documented notes for payment requirements; explains insurance benefits as quoted to us by their insurance carrier, and collects patient's out of pocket expenses
            • Determine if patient is responsible for any payment of service and document how payment is calculated and received
            • Refer cases for financial screening as indicated.
            • Prepare hospital receipt for payment received.
            • Validates address and phone number
            • Ensure all paperwork is complete and all documents are correctly filed or attached to patients record
              Cashiering Duties
              
              • Cash box will be in balance at all times
              • Payments received will be receipted and accounted for at all times
                
                Behavioral Expectations
                
                Should apply and be listed on all job descriptions.
                
                • Customer Service - Enthusiastically interacts with all customers. Assumes personal responsibility for meeting customer needs. Consistently demonstrates a commitment to customer satisfaction.
                • Interpersonal Skills- Is sensitive to the needs, ideas, and feelings of others. Develops and maintains rapport with others. Listens well. Facilitates a group process.
                • Adaptability/flexibility - Demonstrates the ability to change behaviors and plans to meet rapidly changing/ competing job demands (new or unusual situations). Receives change as a challenge. Revises plans to meet changing circumstances.
                • Communication - Clearly and effectively communicates ideas and requests to others. Persuades or influences others through spoken or written communication.
                • Initiative - Starts and completes tasks with minimum of prompting. Willing to make recommendations and assume additional responsibilities.
                • Team Player - Fully participates in maintaining a positive team environment that is conducive to customer satisfaction. Builds trust among co-workers, focusing on accomplishing hospital and departmental mission and goals.
                • Organized and efficient - Organizes work and uses time efficiently. Takes the initiative to find additional work during slow or downtimes. Recommends innovative ways of doing work more efficiently and effectively.
                • Core Values -Practices DCH core values.
                  Education and/or Experience:
                  
                  Select the one level of education and/or experience needed to successfully accomplish the essential duties of this job. Delete those that do not apply.
                  
                  -High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

Keywords: Driscoll Children's Hospital, Edinburg , Patient Access Rep, Other , Edinburg, Texas