Pt Financial Access Specialist ED

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Patient Financial Access Specialist-ED is responsible for all functions and processes related to patient registration in all the YNHH Emergency Departments (ED) locations and Admitting areas. Utilizing effective communication and technology, proficiently assesses and balances the patient volume in a highly acute and /or non-acute environment assuring the timely processing of the visit. Consistently exhibits emotional maturity in order to provide excellent customer service as outlined in the hospital 's standards of Professional Behaviors.

Remains a "grace under fire" within the emergency setting during traumatically intense circumstances. Obtains and updates the patient's demographics while adhering to the Patient Identity/Red Flag procedures to ensure patient safety. Understands the various insurance carriers by electronically verifying insurance eligibility and enters insurance accurately to satisfy billing requirements. Identifies co-payments and/or deductibles that are required at the point of service for both emergency visits and elective admissions.

When applicable, initiates other funding referrals as outlined by departmental policy. Obtains all required financial documentation at the time of registration. Actively participates with other Departments and specialized protocol teams (trauma, stroke, cardiac, morgue, and blood draw station) to ensure a cohesive, efficient work environment. Processes a variety of In
-patient bookings (direct admission, surgery, maternity etc.). This would include but not limited to escorting patients to their treatment location. Maintains the visitor volume with the distribution of passes at all hospital access points. In conjunction with the Emergency Preparedness guidelines, maintains proficiency in both incident planning and downtime procedures.

• Interviewing/Demographic Information:
  Obtains and accurately records all patient demographic fields within the patient's Electronic Medical Record (EMR) for both clinical and financial use. Adheres to the Patient Identity/Red Flag procedures when preforming the arrival and interview processes. For additional patient identity security measures, obtains a digital photo image for the patient 's EMR and provides the patient with information or an activation code to the MyChart application.
  • During the arrival process, properly identifies patients in a timely and accurate manner while adhering to Patient Identity/Red Flag rules to ensure patient safety. Prints patient identification label and places  on all patients to assure proper patient identification.
• Insurance and Billing requirements:
  Ensures accurate billing information is obtained and verified at the point of service. Initiates financial documentation for all 'true' self-pay accounts. Presents and obtains signatures for applicable financial documents as it relates to the visit. Collects co
  -payments and/or deductibles due, along with providing explanation of benefits.
  • Demonstrates a solid understanding of the various third party payers, and accurately completes insurance entry in order to satisfy billing requirements.
• ED Registration Functions:
  To manage the ED Track Board as it relates to prioritizing the patient flow for the registration process within the Emergency Department setting. For emergency preparedness must be proficient in downtime and incident planning. Must share in the equal percentage of registrations, along with the ability to work the various designed registration work queues.
  • Demonstrates a thorough understanding of the ED Track Board in order to manage patient flow through the Emergency Department. Consistently manages the registration columns and the various tabs to maintain an accurate and real-time work list reflecting the registration status.
• Admitting Functions:
  In accordance with the established…