POSITION
DESCRIPTION
|
POSITION
SUMMARY: Greet and receive patient into health care
facility. Responsible for accurate and
timely processing of patient demographics and insurance information. Obtain electronic signature for consent to
treat and patient financial obligation.
Provide excellent customer service, and use strong written and oral
communication skills. This position is
the first impression of the clinic and WVU Healthcare to the patient |
MINIMUM
QUALIFICATIONS: |
|
EDUCATION, CERTIFICATION, AND/OR LICENSURE: |
|
1. |
High school graduate or equivalent. |
PREFERRED
QUALIFICATIONS: |
|
EXPERIENCE: |
|
1. |
Typing speed of 25 words per minute is
preferred. |
2. |
Experience in medical office setting
preferred. |
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. |
|
1. |
Obtains
demographic/billing/insurance information from patient/family/legal guardian
and enters into the registration/billing systems for service and claim
processing and scanning insurance cards & driver’s license. Maintains registration accuracy threshold
of 98% as identified in audit processing |
2. |
May complete
managed care responsibilities in regard to obtaining pre-certification and
authorizations. |
3. |
Prepares WVU
Healthcare standard consent form, notice of privacy practice and/or other
necessary paperwork related to registration and presents to
patient/family/legal guardian for signatures.
Obtains electronic signature for consent to treat and patient
financial obligations. |
4. |
Collects
deposits/co-payments/deductibles/patient liability payments when applicable,
provides patient receipt and documents payment in the registration/billing
systems |
5. |
Directs
patients needing financial assistance to Patient Services to speak with a
Financial Counselor. |
6. |
Schedules,
cancels, reschedules and confirms patient appointments over the phone,
through the mail and in person for several physicians within their
department. Determines urgency of
patient medical condition when scheduling appointments. Schedules appointment based on type of
visit and insurance coverage requirements along with all test ordered by
physician and coordinates appropriately. |
7. |
Balances
daily receipts and cash drawer for patient payments, prepares and places
deposit bag into the safe or delivers it to cashier’s office. |
8. |
Follows up
on accounts as indicated by system flags (courtesy dismissal/comments/red
stickers) |
9. |
May
initiates auto accident liability coverage.
Identifies all patients involved in an auto accident and obtains all
pertinent information regarding medical or non-fault liability and documents
in registration/billing systems. |
10. |
May initiate
ERSD (end stage renal disease) screening.
Identifies ESRD patients and obtains all pertinent information
regarding coverage by SSI and documents in the registration/billing systems. |
11. |
May initiate
Veterans Administration eligibility screening. Identifies all VA eligible patients and
coordinated admission/treatment with AV and documents in the
registration/billing systems. |
12. |
May initiate
Black Lung SSI screening. Identifies
all patients covered under Black Lung and documents in the
registration/billing systems. |
13. |
May initiate
Workers Compensation screening.
Accurately identifies all patients seeking treatment for work related
injuries. Assists in completion of
appropriate paperwork and documents in the registration/billing systems |
14. |
Initiates
MSP (Medicare secondary screening). Obtains
all information regarding MSP.
Documents in registration/billing system all information required on
the MSP form |
15. |
Participates
in performance improvement (i.e. follows established work systems, identifies
deviations or deficiencies in standards/systems/processes and communicates
problems to coordinator or manager) |
16. |
Maintains
confidentiality according to policy when interacting with patients,
physicians, families, co-workers and the public regarding
demographic/clinical/financial information |
17. |
Complies
with Notices of Privacy Practices, and the Patient’s Rights and
Responsibilities and cooperate with the WVUH Corporate Compliance Program
during employment. |
18. |
Complies
with annual competency requirements related to Emergency Preparedness,
hazards, blood borne pathogens, universal precautions, infection control,
electrical/fire safety, material safety data sheets and any other topic
deemed appropriate to assigned work areas. |
19. |
Provides
patients information concerning insurance, payment of bills and hospital
procedures. Consistently maintains
current knowledge of major payor payment provisions. |
20. |
Communicates
effectively verbally and in writing and places high emphasis on customer
service. Receives and relays pertinent
information to other members of the healthcare team. |
PHYSICAL 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. |
|
1. |
Frequent
walking, standing, stooping, bending, kneeling, reaching, pushing, pulling,
lifting, grasping and feeling are necessary body movements utilized in
performing duties throughout the work shift |
2. |
Must
be able to sit for extended periods of time.
|
3. |
Must have
the ability to move throughout the work area and clinic area |
4. |
Must
have reading and comprehension ability |
5. |
Must be able
to read and write legibly in English |
6. |
Visual
acuity must be within normal rang |
7. |
Must
have manual dexterity to operate keyboards, fax machines, telephones and
other business equipment |
WORKING 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. |
|
1. |
High volume,
fast paced patient care environment |
2. |
Exposure to
communicable disease |
3. |
Interacts with hundreds of patients, medical staff and support staff on
a continual, daily basis |
SKILLS AND ABILITIES: |
|
1. |
Ability to
accurately utilize applicable computer software and equipment for access
processing & demonstrates ability to follow down time procedures |
2. |
Demonstrate
knowledge of procedure to report and/or document unsafe/hazardous conditions,
incidents and defective equipment in compliance with hospital policy |
3. |
Requires ability to perform repetitious duties
throughout the shift. |
4. |
Requires considerable attention to detail, the
ability to be organized and to be able to perform multiple tasks
simultaneously. |
5. |
Requires the ability to memorize a considerable
amount of information, and to be able to reference information not retained
from written sources or from appropriate personnel |
6. |
Requires the ability to understand medical
insurance requirements for payment and basic knowledge of covered services. |
7. |
Must be able to provide information on demand, at
times taking requests from several sources. |
8. |
Must be able to work with a variety of personality
types and interact with individuals with various levels of education,
capabilities and communication skills |
9. |
Must
be able to communicate effectively, both in writing and in oral communication |
10. |
Must be able to demonstrate working knowledge of computers.
|
11. |
Must
demonstrate the ability to use tact and diplomacy in dealing with others |
12. |
Basic
knowledge of medical terminology preferred |
13. |
Basic
knowledge of third party payors preferred |
14. |
General
knowledge of time of service collection procedures preferred |
15. |
Excellent
customer service and telephone etiquette |
Date Reviewed/Revised: March 2017 |