Access Specialist I- Part time 5p-5am night shift at main campus
Company: Dayton Children's Hospital
Location: Dayton
Posted on: January 26, 2023
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Job Description:
Facility:Dayton Children's - Main CampusDepartment:Patient
Access - Emergency DepartmentSchedule:Part timeHours:24Job
Details:Patient Access Representatives provide customer-service
coverage and assume the responsibility for successful financial
outcomes of all patient services. Under the general supervision of
the Patient Access Manager, this position performs imperative
duties, which may include, but not limited to appointment
scheduling, registration, transcribing orders, insurance
verification, telephone coverage, data entry, filing protected
health information (PHI), patient referrals, and payment
collection, while maintaining patient relations, customer
satisfaction, and Dayton Children's Hospital financial
solvency.
Department Specific Job Details:
1. Primary Duties and Responsibilities - 50%
+ Promptly fields and/or directs incoming calls and responds to
patient and/or staff inquiries when necessary
+ Gathers and verifies all appropriate, confidential health and
financial information from patient/guarantor/subscriber while using
various computer software to assure payment for all authorized
services. Obtains legal consent for treatment at the time of
registration
+ Verifies insurance eligibility and benefits within a timeframe
determined by Dayton Children's Hospital
+ Verifies medical necessity in accordance with Centers for
Medicare & Medicaid Services (CMS) standards and communicates
relevant coverage/eligibility information to the patient
+ Identifies patients who will need Medicare Advance Beneficiary
Notices (ABNs) of non-coverage and maintains accurate records of
authorizations within the [EHR]
+ Collects out-of-pocket liabilities from patients upfront and
applies, adjusts, and reconciles daily cash reports according to
all organizational, state, and federal laws and regulations
+ Refers patient accounts to financial advocates when further
explanation/education is needed regarding denied authorizations,
out-of-pocket liabilities, coverage options, payment plans,
etc.
+ Exhibits professionalism in appearance, hygiene, speech and
conduct in accordance with organizational standards
2. Quality Improvement and Compliance - 25%
+ Demonstrate awareness of department goals
+ Offer ideas and suggestions to make processes more efficient
+ Participate in the development of department goals and quality
improvement indicators.
+ Keep the supervisor informed of any problems or concerns
3. Additional Responsibilities - 10%
+ Demonstrates proficient customer-service skills by greeting and
treating all patients and staff with respect, discretion and
dignity using AIDET standards
+ Complies with all organizational, state, and federal laws and
regulations related to patient privacy and confidentiality, such as
the Health Insurance Portability and Accountability Act (HIPAA)
+ Demonstrates understanding of insurance protocols for referrals,
co-payments, deductibles, allowances, etc., and analyzes
information received to determine patients' out-of-pocket
liabilities
4. Education - 10%
+ Participates in continuing education as needed to maintain
current knowledge of role, revenue cycle and industry standards
+ Stays informed of state and federal regulations in relation to
hospital reimbursement, and maintains communication with personnel
in HIM departments and the business office to ensure accurate
reimbursement
+ Stays current with all policies and mandatory education.
Collaborates with patient access quality compliance coordinators,
when in need of quality improvement measures, to improve overall
revenue cycle accuracy
5. Performs other duties as assigned - 5%
Education Requirements:
High School
Certification/License Requirements:
At Dayton Children's we believe that each moment counts with our
patients, families and with each other.
We are moving at a fast pace and are looking for the right talent
for our team at Dayton Children's. We want people who embody our
values and want to become a part of the Dayton Children's
difference. If this is you, apply today!
Our values:
+ Safety--We make safety our first priority.
+ Compassion--We deliver compassionate, family-centered care to all
we serve.
+ Ownership--We are the pediatric care experts and act knowing that
every patient, visitor and the hospital is our collective
responsibility.
+ Collaboration--We work collaboratively to care for children,
their families and each other.
+ Innovation--We continuously innovate to make Dayton Children's
even better today and into the future.
+ Equity -- We strive for an environment in which all feel
welcomed, valued and fairly treated in order to reach their full
potential.
Dayton Children's is proud to be an Equal Opportunity Employer who
values diversity and will not discriminate against minorities,
women, protected veterans, individuals with disabilities, or on the
basis of age, color, gender identity, national origin, race,
religion, sex, sexual orientation or transgender status.
Covid Notice:
Based on the current CMS requirements imposed on the hospitals all
staff, volunteers, students and certain onsite contractors must
have either the COVID-19 vaccine or an approved exemption to work
at the hospital. CMS rules require that both doses of the vaccine
are complete, as well as a 14 day waiting period before the start
date. The Employee Health appointment cannot be scheduled until the
vaccine is complete, or a Medical or Religious exemption has been
approved by the COVID exemption committee.
Keywords: Dayton Children's Hospital, Dayton , Access Specialist I- Part time 5p-5am night shift at main campus, Other , Dayton, Ohio
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