Lubbock Heart Hospital Patient Access Representative in Lubbock, Texas

GENERAL SUMMARY:

Responsible for supervising all Front Desk, Medical Records, Operator, and Business Office employees. Maintains efficient and orderly front desk operations. Maintains open communication with other employees and physicians.

ESSENTIAL FUNCTIONS:

Include, but are not limited to, the following:

  • Together with the Department Director, reviews and revises department policies annually.

  • Ensures proper documentation is being utilized in accordance to hospital, HIPAA and governmental regulations.

  • Assists in developing and implementing policies and procedures relative to patient accounts, payment posting and reimbursements by patient, insurance and other third party reimbursements.

  • Assists in answering patient questions about clinic and billing procedures.

  • Implements appropriate disciplinary actions where necessary in accordance with hospital policy and procedures.

  • Ensures compliance with HIPAA Privacy Regulations, Transactions and Code Sets Regulations and assist in preparing for the implementation of HIPAA Security Regulations.

  • Responsible to properly train employees within the respective areas of patient access responsibility.

  • Handles incoming and outgoing calls pertaining to patient issues.

  • Stays current with charges and reimbursement regulations.

  • Create, maintain, and correct all clinical scheduling tasks in the electronic medical record.

  • May conduct patient pre-certification to ensure coverage for appointments and medical care.

  • Schedule all staff visit frequencies in the electronic medical record based on orders.

  • Ensure accuracy of all orders when compared to evaluations prior to scheduling visit frequencies.

  • Responsible for completion of the schedule deviation report on a daily basis, and for researching and identifying necessary corrections to ensure compliance.

MINIMUM KNOWLEDGE AND SKILLS REQUIRED

  • Manages time and workload efficiently

  • Demonstrates effective verbal and written communication skills

  • Demonstrates willingness to adjust to change

  • Demonstrates ability to handle pressure and remain calm in busy situations

  • Demonstrates commitment to work and consistent job performance

  • Knowledge of organization and departmental policies and procedures

  • Knowledge of hospital based-computer systems and applications

  • Knowledge of government reimbursement regulations and requirements

  • Skill in planning, organizing, delegating and supervising

  • Ability to take initiative and exercise independent judgment, decision- making and problem solving

  • Ability to work effectively with staff, co-workers, patients, public and external agencies

  • Ability to be diplomatic and use constructive problem solving techniques when confronting difficult people and/or situations

  • Performs other duties as requested

  • Know the definitions of fundamental computer terms related to applications software and desktop PC's

  • Know how to open, read, and respond to email

  • Know how to manage electronic files

  • Know how to print electronic documents and reports

MINIMUM EDUCATION AND EXPERIENCE REQUIRED:

  • High School diploma or GED

  • Associate‚Äôs degree preferred but not required; or 3-5 years related experience and/or training; customer service; and computer skills

  • Must be able to multi-task

  • Knowledge of ICD-9 and CPT coding, medical terminology

ENVIRONMENTAL AND PHYSICAL REQUIREMENTS:

  • Employee works in a temperature-controlled environment

  • Walking and/or standing approximately 30% of the day

  • Sitting approximately 70% of the day

  • Must be able to lift up to 20 lbs using proper lifting techniques several times during their shift

  • Must be able to bend and stoop less than 10% of the day

  • Reaches over the head less than 10% of the day

  • Appropriate communication skills to effectively handle a wide spectrum of concerns involving employees, patients, families and physicians

  • Hearing for low, medium, and high pitch