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 scheduling appointments, collecting patient information, verifying benefits eligibility, inputting information into computer information systems and calculating co-payments.
The work is performed under the direct supervision of a higher ranking employee. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Pre-registers and/or registers patients for Emergency Room, clinics, inpatient, surgical and ancillary services using computer information systems;
Schedules patients' 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; 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 asses qualifications for government entitlement programs or uncompensated charity care programs in accordance with hospital policy;
Negotiates contractual payment plans;
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 inquires regarding scheduling, registration, payment and repayment services;
Identifies related issues and works with other departments and outside entities to resolve;
Operates Bed Board system assigning beds appropriate to co-hort specifications, hospital transfers, direct admissions and various bed board functions;
Complies with applicable federal and state regulatory agency guidelines, including HIPAA privacy standards, established departmental policies and procedures, objectives, quality assurance, safety, environmental and infection control standards.
FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Good knowledge of office terminology, practices and procedures; good knowledge of patient registration or scheduling; good knowledge of Medicare/Medicaid and Joint Commission regulations as related to Patient Access processes; good knowledge of HIPAA privacy standards; good knowledge of hospital computer information systems utilized in Patient Access functions; 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 meet and deal with a diversified public in a professional and courteous manner; ability to establish and maintain effective working relationships; ability to communicate effectively, both orally and in writing; ability to use computer applications; ability to work in a fast paced environment; ability to work flexible shifts; courtesy; tact; good judgment; capable of performing the essential functions of the position with or without reasonable accommodation.
Graduation from high school or possession of a high school equivalency diploma and one (1) year of clerical experience in patient admissions, registration or scheduling, health insurance verification or eligibility in a healthcare setting.
NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting the full-time experience requirements.
University Emergency Medical Services, Inc.