The Patient Access representative will be responsible for the scheduling and registration functions for Wentworth Douglass Health Systems (WDHS). The individual specializes in providing exceptional customer service, creating new patient medical records, verifying insurance eligibility, collecting demographic information and offering applicable documents. The Patient Access representative must be able to hold in-depth financial conversations with patients in order to provide cost transparency and improve financial success of the organization.
1. Utilizes organizational, clerical skills and computer applications to ensure an efficient functioning department and assist with the daily operations.
a. Becomes cross trained within Patient Access
b. Answers telephones, takes and relays messages in a timely and efficient manner.
c. Maintains work area in a professional manner.
d. Utilize internal & external resources to resolve issues.
e. Troubleshoots department equipment. Notifies department manager or supervisor or IS of unresolved failures.
f. Maintains filing systems according to department standards.
g. Efficiently utilizes and maintains the knowledge pertinent to the various computer applications and systems within the department.
h. Performs other duties as requested (ex. audits, reports, and/or special projects).
i. Able to multitask to ensure efficiency without compromising a high-level accuracy and professionalism.
j. Demonstrate a willingness to adapt in a variety of settings and perform other tasks as assigned.
2. Obtains all information to complete the Registration and Scheduling process accurately and efficiently.
a. Properly search for patients as to not create duplicate medical records.
b. Accurately update patient demographic and financial information.
c. Document pre-certification/authorizations, Nextgen number, and ORSOS case numbers into the system as needed.
d. Verifies Medical Necessity utilizing the current available applications on required services.
e. Completes insurance verification utilizing the current electronic verification system, online applications, or telephone to include the Medicare Questionnaire and informs the patient of any discrepancies.
f. Reviews orders for any discrepancies and screening requirements. Follows all protocols and procedures. Works in conjunction with the ordering physician as necessary.
g. Works in conjunction with Patients, Physician Practices, and Ancillary Departments to schedule services.
h. Properly enters referrals and/or orders into the appropriate application.
i. Offers Patient Rights information, Advanced Directives and other applicable handouts.
j. Understands and can explain Patient Registration Consent Form(s) to population served.
k. Activate accounts
l. Collect copayments and prepayments at the time of check-in when applicable and accurately post payments to patient accounts.
m. Demonstrates competency with the features and benefits of the patient gateway and able to enroll patients and respond to applicable patient gateway inquiries.
n. Consistently achieve an average 98% accuracy rate of registration for all scheduled services in accordance with Health Financial Management Association (HFMA) KPI standards.
o. ED Registration Area: Responds to emergencies within the Nurse First Expectations and alert the appropriate personnel.
p. ED Registration Area: Prepare death certificates upon notification from authorized personnel, secure and obtain signed release.
3. Provides exceptional customer service.
a. Interacts with all individuals in a consistent manner, providing attention, support and assistance to foster an environment of exceptional personal customer service.
b. Maintain a pleasant and helpful demeanor and present a professional appearance toward all internal and external customers at all times.
c. Communicate clearly and appropriately with patients while demonstrating respect, courtesy, and sensitivity. Complies with hospital and department Standards of Excellence with a focus on patient satisfaction
d. Greets, escorts and/or directs internal and external customers.
4. Acquires and maintains current knowledge and competency in Patient Access and the Revenue Cycle.
a. Participates in ongoing educational activities related to Patient Access.
b. Acquires new knowledge and skills appropriate to Patient Access.
c. Seeks constructive feedback regarding his or her own work in the patient revenue cycle. Makes changes based on feedback provided.
5. Demonstrates a high level of proficiency with the duties and responsibilities.
a. Plans and performs additional functions within the team assignments and department as directed.
b. Requires minimal direct supervision and functions well within the team and fosters the team initiatives.
c. Coordinate Care Van services if applicable.
d. Rehab Areas: Manages daily schedule for multiple therapists, including administering the waitlist.
e. Rehab Areas: Sets up and administers the FOTO program including discharges 10%.
Experience Preferred/Desired
Education Minimum Required
Special Skills Minimum Required
EEO Statement
Wentworth-Douglass Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
: NH-Dover-WDH Main Hospital
:
: Registrar
: Wentworth-Douglass Hospital(WDH)
: Full-time
: Day Job
: Regular
: Apr 1, 2022
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