Patient Representative

Clinical Staff - Nursing

The Patient Representative at the Child and Adolescent Behavioral Health Center works under general supervision and provides comprehensive support for patient care activities. This position may meet, greet, and assist the public, answer telephones and/or may coordinate appointments, referrals, consults, tests, and/or procedures, check-in and register patients, check out patients, and collect payments and issue receipts, verify insurance coverage, and respond appropriately to the requirements of third-party payors. In addition, this position is responsible for counseling patients on their financial status and obligation; and identifying and referring patients and/or responsible parties to an appropriate sponsoring agency. They are responsible for processing high risk pre-certifications, developing and implementing denial avoidance plans and producing reports on revenue cycle functions within the various departments to ensure appropriate financial error reports are worked and corrected. The patient representative is expected to demonstrate competency in the job elements of all the levels of the Access Coordinator positions.

Knowledge, Skills & Abilities:

• Must have excellent organizational and interpersonal skills in order to successfully interact with individuals of diverse backgrounds.
• Well-developed decision-making skills are required.
• Must maintain confidentiality and HIPAA compliance.
• Highly motivated and self-directed individual to establish plans of action.
• Highly proficient in computer and keyboard skills.
• Knowledge of medical terminology required

Responsibilities:

• Schedules for direct care staff.
• Schedules, reschedules, and coordinates appointments using the appropriate hospital systems by performing visit notifications of patients, conducts pre-registration of patients as needed, inputs and/or updates accurate patient information.
• Processes walk-ins, creates new patient charts, accesses systems for orders, works the patient portal, and maintains a tracker board for multiple departments.
• Schedule procedures and/or tests as needed.
• Issues school/work excuses, sends out no-show letters, takes patient photos for medical record.
• Responsible for blocking schedules as appropriate.
• Receives new patient referrals; coordinates with referral source to obtain demographic information.
• Conducts insurance verification and benefit explanation by running eligibility on patients, performs ABN completion.
• Conducts authorizations and pre-certifications, tracks pre-authorization and maintains referrals.
• Enters benefit and authorization information in PCT.
• Obtains OON waivers and coordinates OON waivers.
• Responsible for inputting daily and monthly statistics and communication about any medical records issues. Responsible for various reports as needed.
• Collects and posts payments and issues receipts.
• Responsible for reconciliation/management of change fund.
• Reconciles daily deposits and batch POS dollars and completes the deposit agreement. Counsels patients on any and all related financial information, i.e., hospital discounts and reviewing Medicaid screening.
• Monitors patient balances using the matrix payment methods. This position is also responsible for pre-counseling patients regarding the payment expectations for service.
• Completes Epic workflow for new patients. Completes UB value codes, inputs daily charges, and reconciles charges. (Charge Entry may not be applicable in all areas; some areas utilize e0billing).
• As needed, will inventory, order, and stock supplies, clean and maintain equipment, maintain petty cash, pick up and deliver mail to the mailroom, ensure the waiting room is clean, stocked with educational information, and coffee.
• Attends required training and/or in-services. Attends staff meetings and participates in the orientation and/or training of new staff.
• Participates in annual education needs assessment.
• Maintains required job skill competencies and completes skill assessment annually.
• Completes and maintains documentation of continuing education hours annually.
• Performs other duties as assigned.

Salary Information: $16.82/hour

Required Documents to Apply: Resume

Optional Documents: List of three Professional References (name, email, business title), Proof of Veteran Status