Responsible for the provision of routine patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction.
The following describes the basic position duties that an employee MUST be able to perform for this role. This information is intended to be descriptive of the key responsibilities of the position. The list of essential functions below DOES NOT identify all duties performed by any single person in the position. Has established skills to perform a range of day-to-day activities
Understands how own duties relate to others in the team and has an awareness of how the team integrates with others
Manages own workload by applying an understanding of team priorities; may provide assistance to less experienced colleagues
Recognizes and solves typical problems that can occur in own work area without supervisory approval; evaluates and selects solutions from established options
Impacts own team through the quality of the service or information provided; Follows standardized procedures and practices and receives regular but moderate supervision and guidance
Uses foundational communication skills to exchange straightforward information
JOB SPECIFIC RESPONSIBILITIES:
Performs routine registration activity including verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
Performs routine patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
Resolves routine patient issues and assists with questions on reimbursement
Demonstrates the components of the Children's Health System Vision, Mission and The Children's Way Values
Demonstrates compliance with performance standards, guidelines, regulations, policies and procedures and third party contracts
Participates in team-oriented process improvement initiatives for the department and organization
Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards
Performs other duties as assigned
One year of healthcare, Patient Access operations activities or related experience required
High school diploma or equivalent required
Two-year Associate's degree or equivalent experience preferred
LICENSES and CERTIFICATIONS:
National Association of Healthcare Access Management CHAA Certification preferred
Specific Knowledge, Skills and Abilities:
Maintain effectiveness when experiencing major changes in work responsibilities or environment; adjust effectively to work within new work structures, processes, requirements, or cultures.
Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions.
Ensure that the customer perspective is a driving force behind business decisions and activities; craft and implement service practices that meet customers' and own organization's needs.
Develop and use collaborative relationships to facilitate the accomplishment of work goals.
Identify and understand issues, problems, and opportunities; compare data from different sources to draw conclusions; use effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.
Take prompt action to accomplish objectives; take action to achieve goals beyond what is required; be proactive.
Deal effectively with others in an antagonistic situation; use appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
Effectively manage one's time and resources to ensure that work is completed efficiently.
Accomplish tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
Set high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self impose standards of excellence rather than having standards imposed.
Assimilate and apply new job-related information in a timely manner.
Clearly convey information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
Working knowledge of various software packages, such as Microsoft Office software
Proficient with mathematical skills, computer skills, Microsoft applications and word processing programs and minimum of 40 words per minute
Ability to develop productive working relationships and work in a team environment
Proficient in English, written and verbal, communication skills
very highly regarded in the community. I had no idea how many lives Children’s Health had helped until I started wearing my scrubs with our logo on them. I am always getting stopped with compliments about our care.
Speech Language Pathologist