Patient Access & Scheduling Associate (GMG)
Genesis HealthCare System
Patient Access Associate
The Patient Access Associate greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery. Tasks include the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents.
Essential duties include:
- Greeting patients, family members and visitors in an appropriate and courteous manner, determining their need for assistance including directions or other assistance.
- Adjusting the sequence of registration/transportation based upon departmental guidelines and/or personal judgment when the health of the patient is in question.
- Validating/obtaining and entering demographic, clinical, financial, and insurance information into the patient accounting system by interviewing the patient, family member and/or guarantor.
- Informing patient/guarantor of their liabilities and collecting appropriate patient co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of check-in.
- Validating medical necessity of Medicare and Non-Medicare cases to ensure clinical and financial clearance.
- Obtaining signed physician orders for tests and procedures from physicians/offices.
- Obtaining/scanning patient/guarantor signatures on required forms.
- May perform pre-registration functions on select patients by obtaining and entering information gained through patient contacts.
- Providing information, directions and assistance to patients, family members and visitors, ensuring timely, customer-centric service delivery in an effective and efficient manner.
- Preparing special reports as directed by the manager to document utilization of the patient access department's services and patient flow.
- Receiving cross training as necessary to provide relief support to other staff when needed, based upon the work schedule or workload to assist in the smooth delivery of department services.
- Maintaining a working knowledge of applicable Federal, State, and local laws and regulations, as well as Genesis policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Other duties as needed and assigned by the manager.
Qualifications include:
- High school diploma or equivalent.
- Past work experience of at least (6) six months within a physician office, hospital or clinic environment, performing registration activities or an insurance company, performing payer activities.
- Excellent verbal and written communication skills.
- Accuracy, attentiveness to detail and time management skills are required.
- Must be comfortable operating in a collaborative, shared leadership environment.
- Must have a thorough knowledge of various insurance documentation requirements, the patient accounting system, and various data entry codes to ensure proper documentation and billing of the patient's account.
- Must thoroughly understand HIPAA confidentiality regulations.
- Must be able to work in an environment of changing priorities.
- Excellent problem solving skills are essential.
- Must be able to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery.
Patient centered care and behavioral expectations include:
- Living the Genesis Mission, Vision and Values.
- Performs work in a manner that is quality focused.
- Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.
- Results oriented and focused on achievement of objectives.
- Acknowledges and responds to the diversity of people and the situation.
- Encourages peers (others) to be owners of change.
- Always makes the effort to anticipate and exceed customer needs and expectations.
- Possesses the ability to engage others with patience and understanding.
- Acts in a manner that creates positive first and lasting impressions.
- Demonstrates the ability to own issues until they are resolved.
- Promotes Patient and Employee Safety.
Working conditions/physical requirements include:
- Works in an office environment.
- Requires the ability to comprehend and retain information that can be applied to work procedures.
- Answers telephone calls, uses personal computer and other business machines extensively.
- Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds.
- Vision abilities required include up close vision, peripheral vision, depth perception and the ability to adjust focus.
This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.
Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.
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