Northwell Health Patient Access Rep II in Tarrytown, New York

Req Number 0023FK

Job Description

  1. Patient and Staff Safety:
  • Recognizes the importance of patient/staff safety precautions as it relates to specific department and area of responsibility.

  • Consistently utilizes precautions and follows appropriate procedures to enhance patient/staff safety in daily operations.

  • Identifies and reports any potentially dangerous situations to manager which could cause medical error and / or patient or staff harm.

  • Immediately takes action, where appropriate, to minimize the risk of injury. Where appropriate to staff member's responsibilities, reports errors, when these occur, to supervisor and on an Occurrence Report. Participates, when appropriate, in Root Cause Analyses and/or other efforts to reduce risk of medical error and / or patient or staff harm.

  1. Performance Improvement:
  • Participates in performance / customer service improvement; actively assists in improving performance based on results obtained from customer satisfaction / PI activities.

  • Where appropriate, participates in Performance Improvement activities, including team membership.

  1. Patient Access Responsibilities:
  • Interviews all inpatients, outpatients and/or family members during the registration process including the review and explanation of all patient forms that require patient's signatures.

  • Collects patient information including, demographic, insurance, emergency and physician information. Enters information into the hospital information system and assembles patient chart including patient identification bands and labels. Ensures patient identification band is placed on patient.

  • Confirms patient's insurance coverage eligibility and plan requirements utilizing the electronic verification system and / or insurance company websites. Communicates with physician offices and ancillary departments as necessary to determine eligibility. Updates hospital information system with appropriate insurance plan codes.

  • Verifies patient's co-payments and deductible responsibilities and ensures collection. Provides treatment estimates and approximate balances from patients prior to service and documents all interactions into the patients account.

  • Provides patients with issuance waivers, Advanced Beneficiary Notice (ABN) and exclusion forms when insurance cannot be verified or services are not covered.

  • Screens all Medicare laboratory exams for medical necessity utilizing the medical necessity software.

  • Coordinates timely bed placement for all inpatient, transfers and outpatient bedded requests. Communicates with physicians and nurses regarding bed availability pertaining to emergency and direct admissions, treatment plan and admission criteria. Maintains bed availability list and accepts reservations for rooms.

  • Assigns beds / unit according to the medical needs of the patient, census count and type of accommodations available; collaborates with Nursing Services to facilitate patient placement. Works collaboratively with Bed Officer in tight bed situations.

  • Acts as the liaison with the medical examiner and physicians in cases of deceased patients; assists deceased families as appropriate; arranges with funeral director for timely release of remains; ensures physicians complete death certificates in an accurate and timely manner.

  • Provides patients with information and responds to inquiries regarding available services, visiting hours and hospital regulations, demonstrating sensitivity at all times.

  • Directs patients to correct locations and arranges escort services for patients to appropriate departments as needed.

  • Records and maintains department statistics and logs where necessary, including, but not limited to census reconciliation and cash control logs.

  • Provides coverage for the Emergency Department, Lab Registration, Medical Services Buildings and Information Desk when needed.

  • Follows Hospital guidelines and departmental outline when identifying confidential patients or patients opting out of the Hospital directory.

  • Provides clerical support, replenishes offices supplies and calls for equipment service repairs.

4 . Quality Assurance and Training:

  • Demonstrates understanding of and complies with all legal, regulatory, ethical practice standards and imperatives relevant to the Registration setting, including, but not limited to Patient Bill of Rights, Emergency Medical Treatment Active Labor Act (EMTALA), Medicare Secondary Payor (MSP), Advanced Directives, Advanced Beneficiary Notice (ABN).

  • Acts as a preceptor for new staff in all areas of Patient Access.

  • Presents at least one in-service quarterly to department staff.

  • Actively participates in one departmental performance improvement project.

  • Assists with special projects as directed.

  • Reviews departmental policies annually for continued appropriateness and effectiveness.

  • Maintains personal professional competency through in-service and meeting attendance.

  • Maintains a safe, orderly working environment; maintains compliance with OSHA regulations.

  • Ensures that HIPAA regulations are adhered to.

  • Ensures that Joint Commission standards are adhered to.

  • Ensures that PMHC corporate compliance policies are adhered to.

  • Adheres to hospital and department mission statements, policies and procedures.

  1. Continuing Education :
  • Attends all hospital or departmental in-services.

  • Completes annual HSEP and health assessment as required by Joint Commission.

  • Attends appropriate seminars and conferences as necessary.

6. Performs other duties as assigned and requested. Work is performed in various shifts assigned, in a 24-hour, 7 day per week schedule.

Qualifications

  1. High school diploma or GED required.

  2. Excellent verbal communication skills required.

  3. Bilingual (English / Spanish) preferred.

  4. Good organizational skills required.

  5. Demonstrated ability to perform simple math calculations; ability to accurately handle cash transactions required.

  6. Must be computer literate; working knowledge of MS Office applications (Word / Excel / Outlook) required; strong keyboarding / typing skills required.

  7. Demonstrated knowledge of medical terminology required; knowledge of ICD-9/10 / CPT codes preferred.

  8. Ability to read, write and communicate in English required.

  9. Experience:

  • Two (2) years experience in an admitting department required.

  • Demonstrated proficiency in all Patient Access registrar verifier functions.