About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
JOB SUMMARY:The Patient Business Services Rep II-Access Registration is responsible for tasks relating to the completion of patient registration for hospital and/or physician services. The Patient Business Services Rep-Access Registration will be required to have flexibility to learning and comprehending complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Patient Business Services Rep-Access Registration will be responsible that their patient, payer and provider interactions are carried out according to company, client and federal guidelines.
The Patient Business Services Rep-Access Registration will be required to work schedules that accommodate a 24/7 work schedule and be able to independently make compliant decisions on how to apply HIPAA and FCC regulations.
*this position is REMOTE - candidates must reside in Hawaii to be considered*
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
ESSENTIAL JOB FUNCTIONS:
Access Registration Tasks
- Exceed productivity standards as outlined by business line
- Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage
- Accurately document patient demographics and health plan information
- Support access registration, insurance verification and authorization functions
- Contact physician offices and/or payers for follow-up on eligibility and authorizations and
- Maintain quality scoring and accuracy on all accounts worked
- Ability to work independently and make responsible decisions
- Completes timely follow-up on assigned accounts to ensure no cash loss
- Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals
- Acts as a knowledge resource for team members
- High level understanding of client host system functions
- Clearly documents actions taken and next steps for account resolution in patient accounting system
Ensure all accounts are worked within client standards and Federal Regulations.
- Work within federal, state regulations, department/division & all Compliance Policies
- Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications
Maintain continuing education, training in industry career development
- Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.
- Attend training sessions as directed by management and disseminate to colleagues
- Integrate information obtained through training sessions and policy changes immediately into daily routine
EDUCATION: High School
EXPERIENCE:
- Minimum of 1 year of Access Registration or front office physician healthcare experience
- Minimum of 3 year in hospital or physician operation
- Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel
OTHER HELPFUL EDUCATION OR EXPERIENCE-State other desired, but not required, education or experience.
- Epic hospital system experience
- Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements
- Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred
- Remote working experience
KNOWLEDGE, SKILLS and ABILITIES - Describe specific minimum knowledge, skills, and abilities required for this position. Also, list any special courses, certifications, or physical requirements that are necessary. This is especially critical for screening candidates.
- Exceptional customer service skills.
- Excellent verbal and written communication skills.
- Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
- Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.
- Ability to follow regulations outlined by state, federal, and third-party coverage procedures.
- Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.
- Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.
- Ability to prioritize and effectively anticipate and respond to issues as they arise.
- Ability to post transactions in multiple systems.
- Good analytical and problem-solving skills.
- Ability to work independently.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.