Lubbock Heart Hospital Patient Access Representative in Lubbock, Texas
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.
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’s 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