Clerical Support III (Patient Access 920)
Dayton Children\'s Hospital – Dayton, OH
Category:ClericalFacility:Dayton Children s - Main CampusDepartment:Patient Access - Main CampusSchedule:Full timeHours:40Job Details:This position will be a float position which may have various hours that will include travel to all locations within Dayton Children s network.
Register at point of service and collect point of service payments due. Transcribe walk-in lab and Imaging orders. Schedule established patients, setting up follow-up appointments as appropriate. Process cancellations, working to fill openings to help clinics maintain a high fill rate. Collaborate with patient access staff and other departments within the hospital as well as community practitioners offices to efficiently and courteously facilitate access to hospital services. Educate patients on location of appropriate registration area, the necessity of bringing all pertinent information regarding coverage and benefits related to their visits in addition to their financial obligations so that they arrive prepared.
Point of Service Registration:
- Direct patients to kiosks, offering assistance as appropriate.
- Update and edit information in computer system, ensuring all fields are populated correctly.
- Review and explain all registration forms prior to obtaining signatures from patient.
- Scan and file insurance cards and appropriate documents, ensuring scans are legible.
- Collect point of service payments due.
- Post collections to system.
- Ensure all monies collected are secured and, at end of day, delivered to appropriate department.
Give patients clinical questionnaires/documents as directed per department guidelines.
- Contact patients by phone to verify scheduled appointments and obtain key data elements needed to ensure services are provided and reimbursements are ultimately obtained in a timely manner.
- Reschedule appointments as requested by patient.
- Adhere to hospital customer service standards.
- Identify work that needs to be performed and readily assist other department personnel with their duties as time permits or need arises.
- Utilize appropriate strategies; including phone calls and online databases to verify insurance coverage of scheduled patients, obtaining benefit information such as deductibles, co-payment and co-insurance amounts.
- Identify payor requirements for medical necessity, precertification and preauthorization.
- Enter all proper insurance and authorization information to assure guarantee of payment.
Referral Order Processing:
- Obtain and verify that orders and accompanying documentation are complete and valid.
- In the event that incomplete documentation is received, registrar will contact referring practitioner to obtain required information.
- Enter practitioners orders in an accurate and timely manner.
- Accurately process orders according to each departments protocols.
- File scheduled orders appropriately per patient access process.
- Take an active role to ensure phone coverage is adequate to meet customer needs.
- Answer telephone within 3 rings.
- Connect triage calls to the appropriate location.
- Utilize scripting while answering phones and/or in other situations as needed.
- Ensure message line is transcribed accurately and in a timely manner.
- Remain current on revenue cycle policies, procedures, standards and software.
- Successfully complete annual mandatory education modules, including all house wide modules and monthly policy review questions/updates, by established deadlines.
- Collaborate with patient access quality compliance coordinators, when in need of quality improvement measures, to improve overall revenue cycle accuracy.
- Demonstrate ability to access hospital policies and procedures on the Intranet.
- Ensure patient tracking systems are updated with patient activity at end of day.
- Function independently to follow-up on all appropriate workqueues in a timely manner.
- Follow payor, EMTALA, HIPAA and other regulatory guidelines.
- Demonstrate an interest in patient safety education, participating proactively in identifying problems and incidents in the department and throughout the hospital which place any patient, visitor or staff member at risk or injury.
- Report medical errors or safety concerns within the organization using hotline, QRR or through direct reporting to the supervisor.
- Utilize problem-solving skills to verify patient identification in order to identify and minimize duplicate medical records.
Performs other duties as assigned
This position will be a float position which may have various hours that will include travel to all locations within Dayton Children s network.