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Supervises and coordinates activities and employees related to all patient access processing including : registration, scheduling, and insurance verification, of patients within the healthcare system to ensure the financial viability of the clinical and business enterprise.
Minimum Qualifications
Education, Certification, and / or Licensure :
- High school graduate or equivalent.
- Obtain HFMA Certified Revenue Cycle Representative (CRCR) Certification within one (1) year of hire.
- Experience : Two (2) years of patient financial services, patient access, or registration experience.
Preferred Qualifications
Education, Certification, and / or Licensure :
Associates Degree, BA or BS.Experience : Two years of experience in a healthcare setting.Supervisory experience.Core Duties and Responsibilities : The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
Supervises and coordinates activities related to registration & scheduling. Maintaining current knowledge of third party payor and managed care requirementsCoordinates and supervises access processing for verification, notification and pre-certification to minimize payment denialsProvides daily supervision to staff to ensure prompt and courteous service to patients, visitors, physicians, and co-workers.Monitors daily operations to help ensure adherence to documented administrative and departmental policies and procedures as well as assist in development and upkeep of departmental policies and proceduresCoordinates registration, scheduling with other departments and / or outside referral sources / agencies / facilities to ensure continuity of care, timely communication and accurate patient processing.Interviews and screens potential employees using Targeted Selection and makes recommendations department Manager or Director to aid in filling vacant positionsEnsures that training of new employees is completed as well as identifies on-going continuing education needs of existing employeesHandles patient / family or staff complaints, investigates complaint and makes recommendation on appropriate resolutionMonitors performance of staff on a daily basis to ensure efficient high quality serviceCompletes performance evaluations for new employees, as well as annual evaluationsParticipates with Manager in evaluation of employees who fall below expectationsAble to institute first step (verbal counseling) of WVUH Corrective Action PolicyCoordinates staffing schedule including leave time to ensure adequate departmental coverage and maintains functional knowledge of operational areas and is able to step into staff as neededKeeps staff informed of process, policy and other changes through presentation at regular staff meetings, face to face communications and e-mail correspondenceAssist staff in the coordination of financial services prior to visit with other departments or customers as appropriateCommunicates problem hindering workflow to Manager or Director in a timely mannerOrganizes and executes daily task in appropriate priority to achieve optimal productivity, accountability and efficiencyAssist with annual budget processMaintains registration accuracy threshold of 95% as identified in audit processingCompiles daily cash deposits and reconciles individual cash drawersPhysical Requirements : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shiftMust be able to sit for extended periods of timeMust have reading and comprehension ability and must be able to read and write legible in EnglishVisual acuity must be within normal rangeMust be able to communicate effectivelyMust be able to exert in excess of 50 pounds of force occasionally to move patients or objectsMust have manual dexterity to operate keyboards, fax machines, telephones and other business equipmentWorking Environment : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office type environmentPatient care environmentSkills and Abilities :
Excellent oral and written communication skillsWorking knowledge of computersBasic knowledge of medical terminology, third party payors, knowledge of business math, time of service collection, process ICD-9 and CPT coding preferredMust demonstrate the ability to use tact and diplomacy in dealing with othersExcellent Customer service and telephone etiquetteAdditional Job Description :
Scheduled Weekly Hours : 40
Shift : Exempt / Non-Exempt : United States of America (Exempt)
Company : RMH Reynolds Memorial Hospital
Cost Center : 545 RMH Patient Access
Address : 800 Wheeling Avenue Glen Dale West Virginia
Equal Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.