Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

PAS Rep, Patient Access Services-Lc; Day

Expired Job

Umass Memorial Health Care Leominster , MA 01453

Posted 3 months ago

Title: Patient Access Services Representative

Department: Patient Access; LC

Requisition #: 183936

Hours: 32

Shift: Mon-Fri Mix Schedule (8AM-4:30PM / 8:30AM-5PM / 9AM-5:30PM)

Grade: 6

Union: Non-Union

Posting Date: 08/13/2018

Status: Non-exempt/Hourly

Location: HealthAlliance-Clinton, Leominster Campus

UMass Memorial HealthAlliance-Clinton Hospital is part of the UMass Memorial Health Care system. Serving northern central Massachusetts, we are committed to improving the health of people through excellence in care and comprehensive health services.

Promoting healthy lifestyle habits, we serve as a role model by having a tobacco and smoke free campus and hiring nicotine free employees. By exploring careers with us, you are committed to giving your best to our patients, our community and everyone working on our HealthAlliance-Clinton Hospital Care Team. Whatever your career choice, know that at HealthAlliance-Clinton Hospital you can make a difference.

Position Summary:

Under the general direction of the Patient Access Supervisor, Manager, and/or Director performs a variety of complex duties for the registration and advanced scheduling of patients for provider visits, medical and surgical procedures, tests and ancillary services.

Major Responsibilities:

Schedules patients for treatment and services for multiple providers within multiple clinics/departments/practices at multiple campuses utilizing scheduling rules or electronic guided scheduling protocols.

Coordinates the provision of multiple services to patients. Processes updates and corrections to patient insurance and demographic information.

Obtains prior insurance referrals and authorizations. Collects patient liabilities prior to or on the date of service, as appropriate.

Arranges a variety of associated tests, procedures, and/or ancillary services according to established guidelines and specific criteria.

Applies relevant functional knowledge of multiple treatment areas, the priority and sequence of associated procedures, tests and primary care services.

Prioritizes visits and services in a manner that will foster more efficient utilization of physician's clinical staff, and patient's time, as well as equipment and facilities.

Complies with referral management regulations established for primary care providers.

Enters patient registration/scheduling system, demographic, insurance and other related patient information into the computer system.

Obtains and verifies patient insurance coverage and follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Follows up to correct discrepancies as required.

Telephones and/or notifies patient of appointment times. Provides patient with standard information regarding their personal preparation for scheduled procedures and services.

Mails patient information packets to patients.

Transcribes paper orders when applicable.

Assesses patients' financial needs and directs accordingly to financial counseling, and refers to appropriate person or area.

Receives, and transfers patient phone calls to appropriate personnel and providers. Provides a variety of related clerical duties, such as retrieving medical and other records, faxing, collating, typing, transcribing, taking and relaying messages, etc.

Maintains accurate and timely records, logs, charges, files and related information as required.

Reviews work lists to ensure accurate and timely billing.

Recommends improvements in systems and procedures.

Collects patient liabilities including deductibles, copays, coinsurances, self-pay payments, cosmetic procedure payments, and patient balances as appropriate, prior to or on the date of service.

Monitors and maintains Patient Access and Revenue Cycle work queues.

Maintains scheduling and/or registration accuracy rate of 97% or above.

Maintains call center performance metrics according to department standards.

Performs holiday and/or weekend shift work, as well as after-hours coverage as required.

Meets established productivity standards.

Facilitates and promotes the sharing of knowledge and content throughout departments.

Takes responsibility for ensuring that all work outcomes satisfy the UMass Memorial Health System True North.

The individual must support the mission, vision, and goals of HealthAlliance-Clinton Hospital and serve as a role model for CARES values.

Adheres to change control processes.

Participates in cross training to optimize department resources.

Demonstrates excellent attendance and actively participates in a variety of meetings and training sessions as required.

Demonstrates a friendly, responsive, service-minded attitude to all internal and external customers.

Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback.

Adheres to the HealthAlliance-Clinton Hospital Code of Conduct and Behavior Standards and dress code.

Complies with established environment of care/safety policies and procedures and all health and safety requirements.

Maintains and fosters an organized, clean and safe work environment.

Contributes to the development and application of process improvements.

Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group's achievement of goals and to help foster a positive work environment.

Attends staff meetings and in-service programs as required or directed. Keeps current with hospital and unit changes by reading communication boards and/or books, bulletin boards, posted notices and reads and responds to e mails on a regular basis.

Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc.

Complies with established departmental policies, procedures and objectives.

Attends variety of meetings, conferences, seminars as required or directed.

Demonstrates use of Quality Improvement in daily operations.

Complies with all health and safety regulations and requirements.

Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

Position Qualifications:

License/Certification/Education:

Required:

High school diploma or equivalent.

Preferred:

Associate's degree in business or healthcare-related field preferred.

Experience/Skills:

Required:

  • Previous data entry experience in a medical facility, health insurance company or related area required.

  • English speaking, reading and writing skills required.

  • Strong interpersonal and communication skills needed.

Preferred:

  • 3 years scheduling and/or phone customer services preferred.

  • Previous experience with insurance verification and/or authorization preferred.

  • Bilingual speaking, reading, and writing skills preferred.

Ability to use specialized applications software and computers systems for patient registration and scheduling. Ability to take directions and work independently.

Demonstrated knowledge of business office products. Demonstrated knowledge of medical terminology.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies, including age-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.



See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Respiratory Therapist LC & CC Night

Umass Memorial Health Care

Posted Yesterday

VIEW JOBS 11/16/2018 12:00:00 AM 2019-02-14T00:00 Title: Respiratory Therapist Department: Respiratory Requisition #: 190590 Hours: 36 Shift: Variable schedule; 12-hour night shifts. 2 per week in Leominster, 1 per week in Clinton. Rotating weekend and holiday schedule. Grade: 9 Union: Non-Union Posting Date: 10/13/2018 Status: Non-exempt/Hourly Location: Leominster and Clinton Campus' HealthAlliance-Clinton Hospital is part of the UMass Memorial Health Care system. Serving northern central Massachusetts, we are committed to improving the health of people through excellence in care and comprehensive health services. Promoting healthy lifestyle habits, we serve as a role model by having a tobacco and smoke free campus and hiring nicotine free employees. By exploring careers with us, you are committed to giving your best to our patients, our community and everyone working on our HealthAlliance-Clinton Hospital Care Team. Whatever your career choice, know that at HealthAlliance-Clinton Hospital you can make a difference. Position Summary: This position is responsible for providing all aspects of respiratory therapy in accordance with the policies and procedures of the Respiratory Care Department. Works with considerable independence to perform routine and complex patient care in all assigned areas. The respiratory therapist provides evidence based patient focused care in a collaborative environment. Major Responsibilities: Work as part of a team to ensure optimal patient care. Reviews patients electronic medical record for appropriate history, reason for admission, pertinent laboratory/radiological data, current orders. Administers aerosolized medications. Draws and analyzes Arterial Blood Gases. Reports Critical Values per hospital policy. Consults with physician staff concerning the most efficacious forms of therapy, and makes recommendations to enhance patient care (such as type, method, duration of therapy, suggested medications/dosages) compatible with physician orders and communicates these effectively with appropriate members of the healthcare team. Monitors patient's physiological responses to therapy (such as vital signs, arterial blood gases), and consults with physician if adverse reactions occur. Provide emergency care including assisting with intubation, Rapid Response Team, High Risk Delivery and Code Team. Inspect, test, clean and maintain respiratory therapy equipment as per department policy. Demonstrate and instruct respiratory care procedures to new staff, other healthcare personnel, patients, and patient's families. Provides clinical and general guidance to new, agency, per diem, and student therapy personnel. Provides direct supervision for respiratory therapy students. Set up and operate devices such as basic oxygen therapy, mechanical ventilators, CPAP/Bi-level support, NIPPV, high flow oxygen therapy in accordance with department policy and procedures. Maintains all necessary patient and department records on the electronic medical record and medical administration record. Follows hospital policy/procedure regarding patient medication administration. Participates in departmental quality assurance programs. Maintains up-to-date knowledge of current techniques, developments, and issues in respiratory care through attendance at educational meetings, lectures, and conferences. Skills will be reviewed in annual performance appraisal. Provides verbal report including diagnosis, significant past medical history, reason(s) for admission, treatment goals and plans, patient's response to treatment, and suggestions to optimize patient's treatment plan. Meets established productivity standards. Facilitates and promotes the sharing of knowledge and content throughout departments. Takes responsibility for ensuring that all work outcomes satisfy the UMass Memorial Health System True North. The individual must support the mission, vision, and goals of HealthAlliance-Clinton Hospital and serve as a role model for CARES values. Adheres to change control processes. Participates in cross training to optimize department resources. Demonstrates excellent attendance and actively participates in a variety of meetings and training sessions as required. Demonstrates a friendly, responsive, service-minded attitude to all internal and external customers. Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback. Adheres to the HealthAlliance-Clinton Hospital Code of Conduct and Behavior Standards and dress code. Complies with established environment of care/safety policies and procedures and all health and safety requirements. Maintains and fosters an organized, clean and safe work environment. Contributes to the development and application of process improvements. Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group's achievement of goals and to help foster a positive work environment. Attends staff meetings and in-service programs as required or directed. Keeps current with hospital and unit changes by reading communication boards and/or books, bulletin boards, posted notices and reads and responds to e mails on a regular basis. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. Complies with established departmental policies, procedures and objectives. Attends variety of meetings, conferences, seminars as required or directed. Demonstrates use of Quality Improvement in daily operations. Complies with all health and safety regulations and requirements. Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors Performs other similar and related duties as required or directed. All responsibilities are essential job functions. Position Qualifications: The Respiratory Therapist must possess the ability to assess patients and make appropriate therapeutic recommendations along the continuum of care from admission to discharge including all aspects of respiratory care from floor therapies to mechanical ventilation and blood gas interpretation. Also, the ability to read, write and speak clearly in English. EDUCATION: Associates Degree in Respiratory Therapy preferred. EXPERIENCE: Minimum of 6 months acute care experience preferred, new graduates welcome to apply. LICENSES, CERTIFICATIONS, ETC. : Current Massachusetts State Licensure Registered Respiratory Therapist preferred Basic Life Support required Advanced Cardiac Life Support preferred (required for some positions within 6 months of employment) Neonatal Resuscitation Provider preferred Pediatric Advanced Life Support preferred Umass Memorial Health Care Leominster MA

PAS Rep, Patient Access Services-Lc; Day

Expired Job

Umass Memorial Health Care