Patient Access Representative I
Medical University of South Carolina
Patient Access Representative I
- R-0000047152
- Mount Pleasant, South Carolina
- Patient Access, Records, Health Information, Medical Records & Coding
- Business Operations
- Full Time
- Hospital Authority (MUHA)
Job Description Summary
Under the supervision of the Manager, facilitates accurate and timely completion of registration and all paperwork necessary for patient care. Receives all visitors and patients, answers the main telephone line, assisting callers or transferring the calls to the appropriate individual. Schedules all visits for the Mount Pleasant Pediatric After Hours Care & Specialty Clinics. Works closely with physicians, nurses and therapists to provide optimal ambulatory healthcare. Applies guest relations policy to all visitors, patients, physicians and co-workers.Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC000253 CHS - After Hours & Specialty Clinics - Mt Pleasant (Offsite)Pay Rate Type
HourlyPay Grade
Health-21Scheduled Weekly Hours
40Work Shift
Job Description
Provide administrative coverage at the front desk of the Mount Pleasant AHC Clinic including monitoring the clinic appointment line to include scheduling appointments for clients from outside medical, hospital, correction systems. Answer multiline telephones. Take payments from clients for clinical services. Complete client registration ,and documentation. Schedule interpreters for clients. Retrieve billing charges.
Additional Job Description
Responsibilities:
5% Job Responsibility: Perform other duties as assigned or initiated.
25% Job Responsibility: Function as the first line of contact receiving patients, answering incoming calls, and monitoring the waiting room. Success Criteria: a. Pleasantly greet all patients using AIDET. b. Professionally answer telephone to include the clinic and your name. c. Create and enter accurate and detailed messages into the EMR and correctly route to designated pool or recipient when call received regarding clinic visit, to include lab results, refills, etc. d. Assist and/or refer callers in a professional and courteous manner. Transfer patients to appropriate destination of call or assist in directing them when needing further assistance. Avoid blind transfers. e. Answer patient questions and solve problems concerning policies and procedures not related to direct medical care. Monitor patient flow to ensure timeliness of care, collaborate with back clinical staff for updated on wait times, keep all patients waiting informed of any delays. f. Monitor waiting room for current magazines, appropriate patient material, overall cleanliness, and appearance. g. Avoid personal phone calls, cell phone and internet use if not work-related or any other nonwork related activities at the front desk. Avoid eating in the reception area or at workstation. Ensure all drinks are covered and out of plain sight of patient.
25% Job Responsibility: Collect and appropriately document all payments in accordance with established policies and procedures. Success Criteria: a. Maintain current knowledge of insurance changes and co-pays required. Accurately collect co-pays, self-pay and post in electronic record. b. Demonstrate and understanding patient arrival process, collection processes and applicable policies. c. Review schedules prior to clinic in preparation for each pre-registered patient and address any insurance concerns prior to patient arrival when applicable. d. Notify manager of any service recovery needed regarding payments or accounts. e. Accurately reconcile physical money with payments posted in in the system at the end of each clinic day. f. Daily reconciliation of patient work queue list to ensure accurate billing.
20% Job Responsibility: Scheduling of appointments, consults, treatment, and tests. Success Criteria: a. Ensure scheduling procedures are followed to include updating demographic and all insurance information, using comments appropriately, and updating referral information. b. Maintain advanced knowledge of EMR applications and updates. c. Demonstrate an understanding of the referral and pre-authorization processes. d. Schedule follow-up appointments as instructed.
25% Job Responsibility: Registration of Patients Receive accurate demographic and insurance information on all patients and enter in the electronic medical record. Collect all required signed forms and information necessary to achieve a clean registration and reduce billing denials. Success Criteria: a. Obtain and verify insurance information and patient demographics including copies of insurance and identification cards at each visit. b. Scan all appropriate documents. c. Remain current on insurance and necessary changes affecting all information systems by attending team meetings, email updates from manager and Revenue Cycle, and complete any assigned or mandatory rev cycle trainings.
Physical Requirements: Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands. (Continuous) Ability to perform fine manipulation with fingers and hands. (Continuous) Ability to reach overhead. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to use lower extremities for balance and coordination. (Frequent) Ability to reach in all directions. (Continuous) Ability to lift and carry 50 lbs. unassisted. (Infrequent) Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36" to overhead 25 lbs. (Infrequent) Ability to exert up to 50 lbs. of force. (Frequent) Examples include: To transfer a 100 lb. patient that can not assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force is needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force is required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to deal effectively with stressful situations. (Continuous) Ability to work rotating shifts. (Frequent) Ability to work overtime as required. (Frequent) Ability to work in a latex safe environment. (Continuous) Ability to maintain tactile sensory functions. (Continuous) (Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
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