PATIENT ACCESS REP

Company: University of Maryland Medical Center
Location: Hyattsville
Posted on: June 6, 2021

Job Description:

What You Will Do:POSITION SUMMARYUnder regular supervision performs all outpatient and inpatient registration functions including hospital point of service collections, electronic patient bed management responsibilities and insurance verification. Process patients through the registration functions as quickly as possible while collecting complete and accurate personal, clinical and financial information. Provides general information to hospital users, patients and families. Communicates effectively to service delivery areas to maximize patient flow and customer service.The following job description covers the most significant duties performed, but does not exclude other work assignments not mentioned PRIMARY RESPONSIBILITIESPrincipal Duties: Performs accurate and complete Registration/Preregistrations and & Admissions to provide information which will maximize reimbursement, achieve collection rations and meet Account Receivable goals and provide timely and thorough information to all other providers & customers that utilize the patient data. Interview patients face-to-face or by phone to obtain registration information (prior to service/point of service). Obtain interpretive services to provide communications for hearing impaired or when there is a language barrier preventing completion of the registration process. Ensures that financial protocols and requirements are met while providing caring access to service at UM CAP. Contact insurance companies for patient benefits and authorization approval for patient care. Completes departmental intake forms and shift/day end reports fully and accurately. Minimizes 3rd party payer denials by verifying authorization of service prior to forwarding patients to service delivery areas. Obtains patient signatures on Consent forms, HIPAA, Observation Notice, Insurance Waiver, Important Message from Medicare and other important forms as required within the Hospital's policies. Performs departmental administrative functions as required. Answers all incoming telephone calls according to departmental telephone standards. Document on line admission or other patient service dates to initiate payer and hospital utilization review process. When necessary, pursue actual approval and authorization number from the insurance based upon diagnosis, service and contract coverage. Maintains current knowledge of insurance requirements and an understanding of the changing demands of federal regulations and organizational requirements, UMCAP/PAS policies and procedures, Joint2PRIMARY RESPONSIBILITIESCommission, state and local mandates communicated by email, memorandum, educational matrices andin-services. Work with insurance team specialist to maintain patient flow while resolving financial municates effectively with service areas when unresolved financial issues threaten appointmentschedules and request from physicians that service be rescheduled when payment from insurance orpatient is doubtful Negotiates deposits and payment arrangements with patients and or guarantors and attempt to collectpatient deposits or other uninsured balances on accounts Conducts Bed Assignment duties accurately and timely. Contacts physician offices for orders for patient care. Communicates with Nursing, and Environmental Services regarding bed placements and discharges forinpatients. Ensures that all required documents are scanned into the correct individual patient record. Performance of any requested assignments, tasks or duties within the Patient Access department and asrequired within the scope of the job description. Rotate to various patient access department registration portals as needed.Customer Service:1. Greets customers in courteous, friendly, respectful and professional manner at all times, includingmaintaining eye contact when appropriate.2. Follows communication protocols to both internal and external customers, including introducing him/herselfwith job title and experience, asking open ended questions, such as "How may I be of help to you?" usingthe customer's name as soon as it is learned.3. Responds promptly and appropriately to customer questions/concerns/complaints and attempts immediateresolution.4. Keeps customer's information confidential, including public places such as elevators or the cafeteria.5. Provides assistance and offers help immediately, including finding someone else to meet the request, ifunable to do so him/herself. Introduce other staff to customers when a hand-off occurs and explain that theperson will provide excellent service.6. Demonstrates commitment to excellent service recovery when a customer's expectations have not been mitment to Co-Workers:1. Offers assistance to colleagues and other departments when needed.2. Takes responsibility for solving problems regardless of origin; completes assignments, and respectsdeadlines.3. Resolves conflict directly with colleagues and seeks assistance from others if the issue cannot be resolved.3PRIMARY RESPONSIBILITIESRefrains from criticism in public.4. Mindful and respectful of others' time and schedules. Attends meetings on time and communicates any absences.5. Provides co-workers with a status report for continuity of workflow when planning to be out of the office, off the unit, or away from the departmentCommunication Etiquette:1. Respectful, courteous and professional in all forms of communication and follows facility's service communication protocol in all interactions.2. Refrains from use of personal cell phone in patient care areas.3. Does not text or use e-mail during meetings (except for exigent or emergency situations).4. Maintains an appropriate voicemail message and when away from the office has an out-of-office email message that is brief, current, and includes name and department and offers the caller options if possible.5. Returns email and voicemail messages promptly but no later than within one business day (24 hours).Self Management:1. Reports to work appropriately groomed and in compliance with the Hospital's dress code. Wears identification badge at all times at chest level and facing outwards so identification is clearly visible.2. Complete all assignments within deadlines or negotiates alternative actions and time frames in order to achieve desired outcomes.3. Completes mandatory, annual education and competency requirements.4. Follows UMCAP safety, infection control and employee health standards.5. Demonstrates responsibility for personal growth, development and professional knowledge and competency.6. Adhere to all UMCAP and department policies and procedures, including Code of Conduct and professional behavior standards. Does not exceed Hospital guidelines in reference to attendance, punctuality, and use of sick and unplanned absences. Provides notification of absences, lateness and vacation requests according to department guidelines. Respects length of time for lunch and break times.7. Reviews, signs, and adheres to UMCAP and/or departmental confidentiality statement.4For Supervisory Positions Only:This position supervises jobs that are (check all that apply):Service Admin. Support Technical ProfessionalSupervisory Management Sr. ManagementSupervisory responsibilities typically include (check all that apply):Evaluating Job Performance Disciplining/terminating Scheduling - Work/Time OffRecommending Salary Actions Interviewing/Hiring Coaching/MentoringDirecting/Assigning/Reviewing Work Training/Developing PromotingApproximate Number of Employees Supervised:Exempt (Salaried): Non-Exempt (hourly):What You Need to Be Successful:POSITION REQUIREMENTS:Licensure/Certification/RegistrationRequired: Not Applicable.Preferred:Other:Life Support Certification: (Check all that apply)Basic Life Support - Health Care Provider (BLS-HCP) Advanced Cardiac Life Support (ACLS)Pediatric Advanced Life Support (PALS) Neonatal Resuscitation Program (NRP)Education/Knowledge (see attached explanation sheet)Attained Level: High School or EquivalentPreferred: Some college level course workCompleted Course Work/Program: Business, healthcare administration, social work, or related.We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Keywords: University of Maryland Medical Center, Silver Spring , PATIENT ACCESS REP, Other , Hyattsville, Maryland