Patient Access Officer-Sakina-Sakina for Children-AD-Patient Access Services; Sec

Overview

Responsible for ensuring appropriate and accurate registration of all patients obtaining services at the facility utilizing the facility's registration system; ensuring all insurance benefits, eligibility and pre-certification and/or authorizations are obtained to meet individual payer payment authorization protocols prior to the date of service. Generating, monitoring and reviewing daily cash receipts, registration reports and patient collections. Also responsible for handling routine patient inquiries related to the admission process, insurance verification, financial counseling, financial assistance and billing.

• Registration and verification:
  Accurately obtaining and entering demographic, financial and insurance data into the system for all registered patients using appropriate codes; identifying and assigning correct medical record numbers; assisting in verifying eligibility for insurance patients as required.
• Communicating with physician offices, utilization review and other entities to secure additional needed information to expedite verification and/or notification process.
• Preparing admissions packets, obtaining required signatures and copies of IDs from patients and/or their qualified personal representatives (QPR).
• Financial counseling, financial assistance and billing:
  Providing deposit quotes to patients and physicians offices; when applicable, collecting payments prior to admission; advising patients of unpaid accounts; requesting any additional information required for resolution of open balances; based on facility guidelines extending payment arrangements to eligible patients.
• Monitoring timely and thoroughly in-house patients with outstanding balances, including bad debt; securing financial records to include patient’s facility payment history and a financial statement to determine the most appropriate means of account resolution.
• Documenting patient’s account in appropriate system fields with all pertinent information related to any potential issue(s) that could result in service delays or cancellations due to the lack of financial clearance; communicating actions taken or resolutions achieved to all parties involved (physicians, patients and service areas).
• Generating cash receipts and ensuring accurate accounting of daily receipts; providing statistical data and reporting on a monthly and adhoc basis for management and key departments as instructed by the Manager/Senior Officer.
• Assisting the Manager/Senior Officer in monitoring the quality of the work produced in the department; providing feedback and coordinating with training as needed to ensure accounts are properly secured.
• Providing customer service and support; handling all internal and external customers using departmental/organizational values and standards; promoting a customer-oriented philosophy of the facility; maintaining positive working relationships with patients, physicians and facility personnel via telephone or face-to-face interaction.
• Assisting with the positive resolution of issues that arise between patients/families and the healthcare team; communicating with physicians, patients and management to resolve issues and concerns; ensuring timely response and resolution of queries; ensuring financial counseling and collection is performed.
• Ensuring confidentiality of patient information throughout the department/section by proper disposal of confidential information and by limiting access to staff on a “need to know basis”; managing external relations and serving as a liaison with sister services and external contacts.
• Managing the daily operations of the department and processing day-to-day operations within the patient access section; preparing work schedules and distributing work to meet operational priorities; arranging work assignments efficiently for maximum utilization of time and resources; alerting management promptly of any problems related to work assignments.
• Assisting the Manager/Senior Officer in distributing new patients to staff as needed; performing special research and analysis, and conducting special projects with attention to detail and within designated time frames as…