Team Lead, Patient Access Emergency

POSITION SUMMARY: The ED Patient Access Team Lead ED PA TL serves as a mentor and role model for fellow members through demonstrating an outstanding work ethic, a higher level of knowledge in registration and Patient Access related issues and is a resource to the ED Patient Access Staff. The ED PA TL is also accountable for maintaining and managing appropriate staffing; monitoring departmental area and individual employee performance; reporting issues, risks, and successes on a consistent basis to the Site Supervisor.# Utilizes judgment to interpret department policies to resolve routine inquiries/problems and perform complex registrations/ registration status changes and complete correct account management routines.# Identifies opportunities for process improvements. #Performs all duties in a manner that promotes team concept and reflects the missions, behaviors and core values and philosophy of Eastern Connecticut Health Network and Prospect Health. # EDUCATION/CERTIFICATION: High School degree required, Associates Degree Preferred.

EXPERIENCE:

Minimum of at least two (2) years of related Patient Access experience with demonstrated level of expertise, preferably in a lead role.

COMPETENCIES:

Must able to multi task.# Have excellent English written and verbal skills, basic computer and keyboard skills for use of the Meditech system and strong customer service expertise. Working knowledge of Microsoft office (Word # Excel). Ability to work in a fast pace environment. Ability to foster teamwork. Excellent knowledge of Patient Access account management routines.

ESSENTIAL DUTIES and RESPONSIBILITIES:

Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. # Accurately establishes patient account in a timely fashion, eliminating duplication of medical record numbers by identifying and linking the correct patient and Unit number. Completes demographic, guarantor and financial information accurately in conjunction with Patient Access Department expectations while accurately determining the appropriate flow type in the Admissions registration system. Completes insurance verification through PassPort (PP).# Fixes all discrepancies from PP response in registration to ensure all insurance information is complete and accurate to ensure clean bill is produced. Ensures regulatory compliance by providing patient with documents and obtaining signatures on authorization form for all types of registrations.# These include General consent to treat, Observations notice and ECHN Obs letter, Important Message from Medicare and explains all components of the form to the person signing. Identifies if patient has Conservator, obtains consent to treat and requests Conservator document for patient record. Ensures witness and documentation of such when obtaining verbal consent. Completes registration process by producing registration forms based on registration type. Completes registration by assigning the correct physician(s), admit source and admit priority, as well as HIPAA specific information as evaluated through the auditing process. Operates department specific equipment such as fax, copier, printer, scanners and credit/debit card machine. Identifies and collects patient liability (deductible or copay) at time of visit. Assists with orientation and training of new employees regarding specific policies and procedures of their areas. Pre-registers patients for scheduled appointments by responding to pre-registration phone promptly, returning messages in a timely fashion, printing scheduled lists and initiating phone calls as evidenced by weekly audits. Accurately performs the discharge function by entering an accurate diagnosis, disposition, referring out physician, discharge time, including time seen by triage, time placed in room, and time see by physician. Accurately completes status transfers and complex account management routines. Serves as a Resource for Patient Access issues. Performs audits and provides feedback to staff, produces productivity reports, copay reports and other tasks as assigned by Site Supervisor or Director. Provides week end resource and on call coverage in coordination with Patient Access leadership team.

POSITION SUMMARY:

The ED Patient Access Team Lead ED PA TL serves as a mentor and role model for fellow members through demonstrating an outstanding work ethic, a higher level of knowledge in registration and Patient Access related issues and is a resource to the ED Patient Access Staff. The ED PA TL is also accountable for maintaining and managing appropriate staffing; monitoring departmental area and individual employee performance; reporting issues, risks, and successes on a consistent basis to the Site Supervisor. Utilizes judgment to interpret department policies to resolve routine inquiries/problems and perform complex registrations/ registration status changes and complete correct account management routines. Identifies opportunities for process improvements. Performs all duties in a manner that promotes team concept and reflects the missions, behaviors and core values and philosophy of Eastern Connecticut Health Network and Prospect Health.

EDUCATION/CERTIFICATION:

• High School degree required, Associates Degree Preferred.

EXPERIENCE:

• Minimum of at least two (2) years of related Patient Access experience with demonstrated level of expertise, preferably in a lead role.

COMPETENCIES:

• Must able to multi task.

• Have excellent English written and verbal skills, basic computer and keyboard skills for use of the Meditech system and strong customer service expertise.

• Working knowledge of Microsoft office (Word & Excel).

• Ability to work in a fast pace environment.

• Ability to foster teamwork.

• Excellent knowledge of Patient Access account management routines.

ESSENTIAL DUTIES and RESPONSIBILITIES:

Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time.

• Accurately establishes patient account in a timely fashion, eliminating duplication of medical record numbers by identifying and linking the correct patient and Unit number.

• Completes demographic, guarantor and financial information accurately in conjunction with Patient Access Department expectations while accurately determining the appropriate flow type in the Admissions registration system.

• Completes insurance verification through PassPort (PP). Fixes all discrepancies from PP response in registration to ensure all insurance information is complete and accurate to ensure clean bill is produced.

• Ensures regulatory compliance by providing patient with documents and obtaining signatures on authorization form for all types of registrations. These include General consent to treat, Observations notice and ECHN Obs letter, Important Message from Medicare and explains all components of the form to the person signing.

• Identifies if patient has Conservator, obtains consent to treat and requests Conservator document for patient record.

• Ensures witness and documentation of such when obtaining verbal consent.

• Completes registration process by producing registration forms based on registration type.

• Completes registration by assigning the correct physician(s), admit source and admit priority, as well as HIPAA specific information as evaluated through the auditing process.

• Operates department specific equipment such as fax, copier, printer, scanners and credit/debit card machine.

• Identifies and collects patient liability (deductible or copay) at time of visit.

• Assists with orientation and training of new employees regarding specific policies and procedures of their areas.

• Pre-registers patients for scheduled appointments by responding to pre-registration phone promptly, returning messages in a timely fashion, printing scheduled lists and initiating phone calls as evidenced by weekly audits.

• Accurately performs the discharge function by entering an accurate diagnosis, disposition, referring out physician, discharge time, including time seen by triage, time placed in room, and time see by physician.

• Accurately completes status transfers and complex account management routines.

• Serves as a Resource for Patient Access issues.

• Performs audits and provides feedback to staff, produces productivity reports, copay reports and other tasks as assigned by Site Supervisor or Director.

• Provides week end resource and on call coverage in coordination with Patient Access leadership team.