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Patient Access Representative I

Company: Crystal Clinic Orthopedic Center
Location: Cuyahoga Falls
Posted on: September 12, 2020

Job Description:

Job DescriptionJob Title: Patient Access Representative IDepartment: CCOCReports To: Department /SupervisorPrepared Date: 07/27/15POSITION SUMMARY:The Patient Access Representative I supports the clinical operations of The Crystal Clinic Orthopaedic Center by performing the registration or clerical functions to ensure patients have prompt access to CCOC services. Will perform call center scheduling, arrival desk, and / or departure activities throughout multiple locations for the Crystal Clinic.ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIESIncludes the following but are not limited to:* Handles a wide variety of patient inquiries (on the phone or in person) regarding appointments and services to ensure that patients can access CCOC services with minimal hassle or delay.* Answers the telephone in a pleasant and courteous manner within three rings, identifying self and organization.* Accurately, efficiently and professionally registers patients to insure integrity of patient data in HMS and Centricity systems.* Verifies insurance eligibility for upcoming patient appointments using, AHIQA system.* Collects referring physician demographic information for communication and follow-up.* Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities and patient Rights and Responsibilities and Notice of Privacy Practices.* Identifies co-payments / out-of-pocket expenses, advises patients regarding the need for payments at / or prior to the time of service.* Identifies patients in need of financial counseling to collect payments by following CCOC policies and guidelines* Accurately schedules appointments (office visits, tests, or procedure) by following specialty and physician specific guidelines and/or routes the patients to the appropriate area for further follow-up/ scheduling.* Processes internet appointment requests and responds to patient according to departmental policy.* Performs visit preparation, appointment reminders, records and tracks no-show patients, and other point of service activities as assigned.* Consistently follows check-in procedures for all patients ensuring that all forms are collected, completed, signed, and scanned into systems.* Facilitates the cash collection, as needed, for services rendered and ensures payments received are balanced and batched correctly according to CCOC policy.* Communicates to nursing, physicians, technicians, secretaries, and supervisors regarding issues relating to patient wait times, late arrivals, or other delays.* Ensures same day add-on appointments are communicated to appropriate department personnel and authorization is obtained.* Recruits, registers, and trains patients on how to use Patient Portal systems.* Schedules all follow-up appointments or procedures using HMS and Centricity systems and provides proper patient instructions.* Provides back-up coverage and assists in daily office routine when needed in other areas.* Maintains up-to-date knowledge of computer systems, insurance / government regulations and Patient Access policies/ procedures used within CCOC.* Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception, according to HIPAA guidelines.* Complies with all Standards of Behavior set and adheres to policies and procedures set forth in CCOC Employee Manual.OTHER FUNCTIONS* Provides back-up coverage and assists in daily office routine when needed in other areas* Performs other duties as assignedWORK STANDARDS* Works well with patients, physician(s) and other CCOC employees* Successfully meets Unit Specific Skill Sets* Complies with all Standards of Behavior set forth by CCOC* Adheres to policies and procedures set forth in CCOC Employee Manual* Adheres to the CCOC attendance policy* Follows HIPAA, OSHA and Compliance Plan regulationsQUALIFICATIONSTo 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.EDUCATION and/or EXPERIENCEHigh School diploma or equivalent preferredPrior front desk experience in a medical office preferredCOMMUNICATION SKILLSMust be able to effectively communicate with physicians, insurance companies, other CCOC employees and other stakeholders.SKILLSIncumbent must possess excellent computer skills and knowledge of office equipment.Demonstrated problem solving and detailed oriented skills required.Multitasking is necessary. Possess critical thinking skills to process tasks accurately; requires high level thinking to understand and problem solve.PHYSICAL REQUIREMENTSMust be able to sit and/or stand for prolonged periods. Must have the dexterity to operate a computer keyboard and basic office equipment. Must be able to lift up to 25 pounds.As an organization, all employees with patient contact are expected to demonstrate competencies, specific to their job duties, for the following patient population categories:Elderly, Children, Cardiac, Neuro, Surgical, Impaired (Hearing/Visual), Cultural, Age.NOTE: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification. This description of duties is not intended to be all inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility.

Keywords: Crystal Clinic Orthopedic Center, Cuyahoga Falls , Patient Access Representative I, Other , Cuyahoga Falls, Ohio

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