Patient Access Associate I/on-call Main Admitting

Job Description : Job Description

Job Description

Patient Access

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions.

Position descriptions are reviewed and revised to meet the changing needs of the organization.

TITLE : Patient Access Associate I

JOB OVERVIEW : The Patient Access Associate I position is responsible for complete and accurate registration, scheduling and check in or admission of patients for specialties supported by their department.

AREA OF ASSIGNMENT : Patient Access

HOURS OFWORK : As assigned

RESPONSIBLE TO : Manager, Patient Access

PREREQUISITES :

High School Graduate or equivalent () required.

Minimum of 1-year front office experience in a physician office or hospital access department; scheduling, registering, using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time preferred.

Demonstrates basic skills in keyboarding (35 wpm)

Computer experience in a windows-based environment.

Excellent communication skills including verbal, written, and listening.

Excellent customer service skills.

Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred.

QUALIFICATIONS :

Ability to function effectively and interact positively with patients, peers and providers at all times.

Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines.

Ability to provide verbal and written instructions.

Demonstrates understanding and adherence to compliance standards.

Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff :

Ability to communicate effectively in verbal and written form.

Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the customer's needs.

Ability to maintain a calm and professional demeanor during every interaction.

Ability to interact tactfully and show empathy.

Ability to communicate and work effectively with the physical and emotional development of all age groups.

Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line.

Ability to document per procedural template requirements, gather pertinent information and enter data into computer while talking with callers.

Ability to utilize third party payer / insurance portals to identify insurance coverage and eligibility; detailed knowledge of insurance providers, their portals and their expectations for authorization approval for referral services / appointments.

Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent

Ability to organize and prioritize work.

Ability to multitask while successfully utilizing varying computer tools and software packages, including :

Utilize multiple monitors in facilitation of workflow management.

Scanning and electronic faxing capabilities

Electronic Medical Records

Telephone software systems

Microsoft Office Programs

Ability to successfully navigate and utilize the Microsoft office suite programs.

Ability to work in a fast-paced environment while handling a high volume of inbound calls.

Ability to speak, spell and utilize appropriate grammar and sentence structure.

UNIQUE PHYSICAL / MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS :

Must be able to stand or sit for extended periods. Must be able to withstand the repetitive motion of keyboarding for extended periods of time.

Must be able to lift supplies and / or other documents up to 10 lbs. Must be able to push patients in wheelchairs from the admitting department to the patient care area.

PERFORMANCE RESPONSIBILITIES :

Generic Job Functions : See Generic Job Description for Administrative Partner.

Essential Responsibilities and Competencies :

In-depth knowledge of UW VMC Medicine's mission, vision, and service offerings.

Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff.

Delivers Excellent customer service throughout each interaction.

Provides first call resolution, whenever possible.

Acknowledge if patient is upset and de-escalate using key words and providing options for resolution.

Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward.

Adheres to Valley Medical Center's Patient Identification guidelines utilizing Patients Are First principals to select the appropriate patient record or create a new electronic record

Applies VMC registration standards to ensure patient records are accurate and up to date.

Ensures accurate and complete insurance registration through the scheduling process, including Verifies insurance eligibility or updates that may be needed.

Reviews patient and referral workqueues for incomplete work and resolves errors prior to patient arrival.

Scans copies of appropriate documentation; including, but not limited to, photo ID, insurance cards, patient referral or authorization information

Responsible for scheduling, registration and insurance verification for services supported by their department, this includes :

Confirms services provided at Valley will be covered by patient's insurance, if we are out of network, informs patient benefit limitations.

Registration, scheduling and check in for appointments and pre-registration and admission for bedded patients

Confirms referrals received for services are complete and accurate.

Coordinates requests for additional information from referring offices as required for complete and accurate scheduling and reimbursement.

Schedules per department protocols

Confirms accounts are financially cleared before admission or check in for scheduled procedures.

Follows Point of Service Collection (POS) Guidelines to inform patients of their financial options.

Provide patients with financial assistance information.

Responsible for organizing and prioritizing work as outlined in department standard workflows.

Meet defined targets for productivity, POS collections and financial clearance.

Receives, distributes, and responds to mail for work area, including checking referral WQ's, Aspect, Epic In - Basket and faxes according to department standards.

Monitor office supplies and equipment, keeping person responsible for ordering updated.

Other duties as assigned.

Updated : 3 / 1 / 21

Grade : OPEIUH

FLSA : NE

CC : 8561

Job Qualifications : PREREQUISITES :

PREREQUISITES :

High School Graduate or equivalent () required.

Minimum of 1-year front office experience in a physician office or hospital access department; scheduling, registering, using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time preferred.

Demonstrates basic skills in keyboarding (35 wpm)

Computer experience in a windows-based environment.

Excellent communication skills including verbal, written, and listening.

Excellent customer service skills.

Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred.

QUALIFICATIONS :

Ability to function effectively and interact positively with patients, peers and providers at all times.

Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines.

Ability to provide verbal and written instructions.

Demonstrates understanding and adherence to compliance standards.

Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff :

Ability to communicate effectively in verbal and written form.

Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the customer's needs.

Ability to maintain a calm and professional demeanor during every interaction.

Ability to interact tactfully and show empathy.

Ability to communicate and work effectively with the physical and emotional development of all age groups.

Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line.

Ability to document per procedural template requirements, gather pertinent information and enter data into computer while talking with callers.

Ability to utilize third party payer / insurance portals to identify insurance coverage and eligibility; detailed knowledge of insurance providers, their portals and their expectations for authorization approval for referral services / appointments.

Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent

Ability to organize and prioritize work.

Ability to multitask while successfully utilizing varying computer tools and software packages, including :

Utilize multiple monitors in facilitation of workflow management.

Scanning and electronic faxing capabilities

Electronic Medical Records

Telephone software systems

Microsoft Office Programs

Ability to successfully navigate and utilize the Microsoft office suite programs.

Ability to work in a fast-paced environment while handling a high volume of inbound calls.

Ability to speak, spell and utilize appropriate grammar and sentence structure.