Patient Access Specialist - Specialty Pediatrics Clinic
Company: Omaha Children's Hospital
Location: Omaha
Posted on: May 28, 2023
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Job Description:
$500 Employee Referral
$1000 Hiring Bonus (External Candidates Only)
We're searching for a Patient Access Specialist to facilitate
admission and registration process for all inpatients and
outpatients. Obtains essential information for registration and
pre-certification, ensures all data is accurate, forms are complete
and signed for inpatients, surgical, diagnostic and clinical
outpatients. Establishes good rapport with and maintains effective
communication with patients, parents, physicians, house officers,
nursing staff and others. Advises patients of financial
responsibilities and payment expectations.
ESSENTIAL FUNCTIONS
OUTPATIENT CLINIC, EMERGENCY, AND ANCILLARY REGISTRATION. Receives
notification of need for registration/reservation from patient,
caregiver, physician, physician agent, surgery scheduling, nurses,
or clinics & can identify specific registration protocol based upon
patient clinic type.
Obtains complete and accurate patient, demographic and insurance
information, identifying all payment sources and pre admission
certification requirements to enhance the revenue cycle and prevent
denials of reduction in benefits.
Assembles forms/patient packets as necessary.
Converts pre registration to visit when a patient/family arrives in
a timely manner and assembles patient charts when required.
Responsible for verifying all demographic information is complete
and accurate in Epic registration system and communicates such
information to all parties involved.
Obtains complete and accurate data at the bedside for patients when
appropriate, thus supporting the medical needs of the patient.
Obtains authorization for medical treatment/testing or admission
from parents or legal guardian. Seeks to obtain accurate sociologic
information to ascertain responsibility for signing the
Authorization for Treatment. Refers to Social Worker when legal
guardianship issues arise.
Distributes Privacy Notice to parents and obtains written
acknowledgement of receipt of notice.
Communicates NeHii disclosure and documents in Registration
system(s)
Obtains copy of driver's license or other picture identification in
accordance with red flag policy and procedures.
Prompts the collection of co-payment, deductible, co-insurance or
deposit of self-pay balances at this time of registration if not
previously collected.
ADMISSIONS - Receives notification of need for
registration/admission from physician, physician agent, surgery
scheduling, nurses, or clinics.
Assembles forms as necessary.
Places wristband with verified demographic information directly on
patient at point of admission.
Obtains complete and accurate patient, demographic and insurance
information, identifying all payment sources and pre admission
certification requirements to enhance the revenue cycle and prevent
denials of reduction in benefits.
Prompts the collection of admission co-payment when identified
during the insurance verification process.
Obtains complete and accurate data at bedside for all nonscheduled
admissions, when appropriate, thus supporting the immediate medical
needs of the patient.
Coordinates bed assignment with the Clinical Nurse Coordinator.
Monitors bedside registration and ED Bed Board.
Obtains authorization for medical treatment/testing or admission
from parents or legal guardian. Seeks to obtain accurate sociologic
information to ascertain responsibility for signing the
Authorization for Treatment. Refers to Social Worker when legal
guardianship issues arise.
Creates admission visit with appropriate status, bed type, and
accommodation when a patient/family arrives, notifies the CNC or
assigned floor and assembles patient charts.
Determines if patient is an adult in Nebraska for completion of
Advance Directive status. If there is an Advance Directive
instructs patient/parents that it must be placed on the chart. If
of legal age and no Advance Directive, provides information on
creating an Advance Directive. Documents correctly in Epic
Assumes responsibility of daily follow-up in Access work queues
with emphasis on collection of insurance information for timely
authorization
FINANCIAL RESPONSIBILTIES - Identifies, collects and accepts
copayments and payments on account at time of registration. Also
looks for existing or prior balances and works to collect those.
Refers family to Patient Advocates for assistance when
required.
Posts payment to account at time of collection according to system
protocol
Reviews all sources for balance due within Epic upon patient
arrival and makes attempt to collect.
Assures completion of Self-Pay Form for all true self-pay accounts
and forwards to Patient Advocates.
Obtains ABN form when applicable.
Completes daily deposit and manages cash drawer to ensure balancing
and posting needs are met according to the department policies.
Develops working knowledge of insurance companies and their
requirements.
Verifies Medicaid eligibility through NMES line or N-Focus/ web
eligibility,
Utilizes Passport electronic eligibility on all applicable payors
for eligibility and to determine out of pocket patient
responsibilities
Utilizes available websites for non-Passport eligibility
inquiries.
Enters into EPIC all patient transfers, discharges, expirations and
physician notification changes
Answers and directs multi-line phone within 2-3 rings.
Completes Add/Change physician form when physician not in EPIC,
routes completed form to Medical Staff Office & follows through
with updating patient registration once physician has been added to
EPIC.
Coordinates Outpatient Ambulatory Ancillary services & can identify
specific registration protocol based upon patient clinic type.
Completes opening and closing department routines including
separating and sorting reports generated by computer and fax,
filing or delivering reports to the appropriate person, and giving
shift change report.
Receives and transports specimens collected outside of the
facility.
Coordinates with CyraCom or in-house interpreter to facilitate
registration of limited English proficiency customers.
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge of medical terminology.
Knowledge of billing CPT and ICD coding preferred.
Ability to type 40 words per minute with 99% accuracy.
Ability to pay attention to detail.
Ability to provide a pleasant and welcoming appearance to all with
which you come in contact.
Ability to read, write, type, and follow oral and written
directions.
Ability to work with minimal supervision.
EDUCATION AND EXPERIENCE
High school diploma or GED equivalent preferred.
Minimum one year customer service experience preferred.
One year experience working in a health care or insurance setting
preferred.
CERTIFICATIONS/LICENSURE REQUIREMENTS
SPECIAL REQUIREMENTS
Position requires coverage 24 hours a day / 7 days a week. Must be
able to work during assigned shift(s) (day, evening, night, weekend
and/or holidays).
All staff may be asked to take on call for the areas of Access that
are open 24/7
Assumes responsibility of daily follow-up in Access work queues
with emphasis on collection of insurance information for timely
authorization
EOE/Vets/Disabled
Make a meaningful difference improving the lives of children!
At Children's, the region's only full-service pediatric healthcare
center, our people make us the very best for kids. Come cultivate
your passion, purpose and professional development in an
environment of excellence and inclusion, where team members are
supported and deeply valued. Opportunities for career growth abound
as we grow our services and spaces, including the cutting-edge
Hubbard Center for Children. Join our highly engaged, caring
team-and join us in providing brighter, healthier tomorrows for the
children we serve.
Requisition ID : 19779
Keywords: Omaha Children's Hospital, Omaha , Patient Access Specialist - Specialty Pediatrics Clinic, Healthcare , Omaha, Nebraska
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