Patient Access Svc Representative (RPT)
Company: ECMC
Location: Buffalo
Posted on: March 19, 2023
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Job Description:
Regular Part Time - RPT
462 Grider Street
Professional
Day Shift
MINIMUM QUALIFICATIONS:
Graduation from high school or possession of a high school
equivalency diploma and one (1) year of clerical experience* in
patient admissions, patient registration, patient appointment
scheduling, health insurance verification, health insurance
eligibility or health insurance processing in a healthcare setting
or third party payer setting.
NOTE 1: *Graduation from a regionally accredited or New York State
registered college or university with a Bachelor's Degree may be
substituted for the required qualifying experience.
NOTE 2: Verifiable part-time and/or volunteer experience will be
pro-rated toward meeting the full-time experience requirements.
TYPICAL WORK ACTIVITIES:
Pre-registers and/or registers patients for various locations
throughout ECMCC such as Emergency Room, clinics, inpatient,
surgical and ancillary services using computer information
systems;
Schedules patient appointments, gathers demographic information
including payer information and inputs into computer information
systems;
Obtains insurance information required for hospital billing,
including completion of the Medicare Secondary Payer Questionnaire;
performs work related to patient health insurance eligibility such
as obtaining and verifying preauthorization approval for
procedures, receiving authorization errors and making corrections
to errors; inputs information into the electronic computerized
system;
Verifies third party payers using telephone or online verification
systems;
Determines insurance co-payments due from patient at time of
service; collects required amounts at time of pre-registration
and/or registration and issues receipts;
Identifies and interview patients without insurance to assess
qualifications for government entitlement programs or uncompensated
charity care programs in accordance with hospital policy;
Obtains signatures on various forms;
Provides feedback to appropriate person of missing/incorrect
information so it can be obtained at the point of service;
Provides patients with information and responds to inquiries
regarding appointment scheduling, registration, payment, repayment
services, etc.;
Identifies related issues and works with other departments and
outside entities to resolve;
Refers patients to staff responsible for developing contractual
payment plans;
Operates bed board system assigning beds appropriate to cohort
specifications, hospital transfers, direct admissions and various
bed board functions;
Complies with applicable federal and state regulatory agency
guidelines, including Health Information Portability and
Accountability Act of 1996 (HIPAA) privacy standards, established
departmental policies and procedures, objectives, quality
assurance, safety, environmental, infection control standards,
etc.;
Performs a variety of related clerical duties as required.
FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL
CHARACTERISTICS: Good knowledge of the principles and practices of
patient registration, patient scheduling, health insurance
eligibility and health insurance verification and eligibility in a
hospital setting; good knowledge of applicable laws, rules,
regulations and accreditation standards as they relate to patient
registration, patient scheduling, health insurance eligibility and
health insurance verification and eligibility in a hospital
setting; good knowledge of third party payers and the respective
guidelines associated with respective payers; working knowledge of
medical terminology; strong customer service skills; good
interviewing skills; ability to use an alpha-numeric keyboard;
ability to apply basic mathematical functions; ability to
communicate effectively, both orally and in writing; ability to
establish and maintain effective working relationships with a
diverse constituency; ability to utilize a variety of electronic
software applications; sound professional judgment; capable of
performing the essential functions of the position with or without
reasonable accommodation.
DISTINGUISHING FEATURES OF THE CLASS: The work involves performing
a variety of clerical functions related to the registration of
patients for clinical, surgical, inpatient and ancillary
departments at the Erie County Medical Center Corporation. The
incumbent performs tasks such as obtaining and reviewing patient
information, scheduling patient appointments, verifying benefits
eligibility, calculating and receiving patient co-pay, and
inputting information into computer information systems. The work
is performed under the direct supervision of a higher-level Revenue
Cycle or Ambulatory Services employee. Supervision is not a
function of this position. Does related work as required.
Keywords: ECMC, Buffalo , Patient Access Svc Representative (RPT), Other , Buffalo, New York
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