Job Description

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

GENERAL PURPOSE OF JOB
This position reportsto the department managerThis position is responsible forthe creation of the patient account in the EMR patient accounting system in support of patient care departmentsand in support of the revenue, billing,
and reporting cycleto also secure reimbursementThisincludesbutisnot limited to functions under the categories ofpatient accounting, referral order record management, patient scheduling, pre-registrationregistrationor pre-admission, admission,verification of patients’ benefits, gather & document insurance benefit details, authorization procurementas required by payer policy,creating estimate of cost, documentation of the authorization and/orreferralorder record, obtaining consent signatures, granting MyChart or MyChart non-patient proxy account access,
documentation of actions takenand of patientfinancialdischargetaskThis role serves as a key promoter of service excellence which, along with the team, strives to meet and exceed the needs of their customers.

Essential Duties and Responsibilities:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorilyto achieve clean claim processing The requirements listed below are representative of the knowledge, skill, and/or ability
required. Reasonable accommodationmay 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.

• •Always maintains utmost level of confidentiality.
• •Adheres to hospital policies and procedures.
• •Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance andintegrity guidelines.
• •Adheres andcomplywith customer service standards and dress code as set forth by the hospital and thedepartment.
• •May be required to work rotating shifts.
• •This position is an essential role and may be part of the disaster plan A or B team during disaster events.
• •Occasional travel may be required.
• Customer Service Duties–utilizing the Driscoll Way to Service Excellence
• •Answers the department telephone immediately or within three rings utilizing courtesy and patience
• •Greet patients and their families with courtesy and concern for their needs using the Driscoll Way to Service
• Excellence
• •Listens to customer needs and takes appropriate action asindicated.
• •Work cooperatively with all levels of staffing and care settings to accomplish desired care outcomes.
• Patient Accounting Duties
• •The Patient Account Specialist will process patient accounts according to established workflow designs.
• Work cooperatively with DAC[Driscoll Access Center]staff to process expectedED admissions, directadmissions,andtransfersand create CCT or HBRT encounters as indicated
• ▪Process provider orders for care; search for referral order first, if not found, create referral record.
  ▪Accurately create patientrecord and or encounterin patient accounting systems utilizing the appropriate
  patient search criteria, using the established naming convention,and interview methodwhile being open
  and transparent with customers.
  ▪Gather patient demographic and financial informationin a kind and courteous manner.
  ▪Verify patient’s insurance benefit and document findings, this process should be completed in the
  appropriate timeframe for the service being provided; refer toEmergency Medical Treatment and Labor
  Act-EMTALA guidelinesfor ED arrivals/services
  ▪Follow payer requirements for payer authorization procurement workflows and admission notification.
  ▪Schedule patients for necessary procedures as indicated, using the appropriate scheduling system and
  obtain authorization for all planned services as indicted by insurance carrier.
  ▪Request and follow cases for required questionnaires & documents such as H&P, PCP Referral, CPS
  Consents.
  ▪Complete an emergency visit arrival event in a timely manner.
  ▪Reschedule patients upon patient request andnotifythe patient’s physician.
  ▪Add notes to eachencounterin patient account notes as indicated, brief but important details only
  ▪Manage an appointment waiting list and canceled list as indicated to ensure services are provided promptly
  ▪Refer cases for financial screening as necessary.
  ▪Adda clear copy of picture identification andinsurance cards, front and back to the patients Electronic
  Medical Record-EMR
  ▪Explain all business forms and obtain signatures
  ▪Issue Patient Rights and Responsibilities and thehospital’sNotice of Privacy Practice as indicated
  ▪Issue patient identification card or wristband identification as appropriate.
  ▪Ensure the patient/family is escort to the appropriate service area
  ▪Contact the Patient Intake Nurse for all direct admissions as indicated
  ▪Manage admissions to the various service areas as directed.
  ▪Follow discharge workflows as directed by service area.
  ▪Manage visitor volume atWelcome desksor in the admitting officedailyas indicated
  Quality Assurance Duties
  •Review& manage work queuesto identify potential duplicatereferrals numbers, HARs, ormedical record
  numbers.
  •Review& managepatient accounting work queues by area to address missing reg items per encounter.
  •Review& managepatient demographic and financial dataforaccuracy
  
• Patient Financial Discharge Duties
  •Review documented notes for payment requirements;explaininsurance benefits as quoted to us by their
  insurance carrier, provide an estimate of charges and explain billing workflow.
  •Refer cases for financial screening as indicated.
  •Prepare hospital receipt for payment received.
  •Validatesname,address,and phone number, to ensure you are in the correct record & update as needed.
  •Ensures all paperwork is complete and all insurance cards and identification cards are copied for business
  record.
  •Document all actions taken at discharge in patient accounting system.
  Cashiering Duties
  •Thedepartment’spetty cash will always be in balance.
  •Payments received will always be receipted and reconciled, daily per shift
  •The department Standard Operating Procedure for cash handling will be followed.
  
  Behavioral Expectations
  •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

EDUCATION ANDOR EXPERIENCE

• ⎯High school diploma or general education degree (GED)required;andone-yearrelated experience and/or training
• preferred