This is a PRN (per diem) position working variable hours and shifts.
It is the responsibility of every Associate at St. James Healthcare to understand, practice and live the Standards of Business Conduct, Mission and Core Values as set forth below.
This position requires the full understanding and active participation in fulfilling the Mission and Values of St. James Healthcare. It is expected that the Associate will demonstrate behavior consistent with the Core Values:
MISSION We reveal and foster Gods healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.
VISION Inspired by our faith, We will be distinguished as the premier person-centered health system and trusted partner. We will share accountability with clinicians and other stakeholders to coordinate care across all settings and improve access, quality, health outcomes and affordability. We will grow as community-based health networks to serve more people in partnership with others who share our vision and values.
VALUES Excellence We set and surpass high standards. Caring Spirit We honor the sacred dignity of each person. Integrity We do the right thing with openness and pride. Stewardship We are accountable for the resources entrusted to us. Safety We deliver care that seeks to eliminate harm for patients and associates Good Humor We create joyful and welcoming environments.
Summary: Demonstrates excellent customer service skills by providing a patient friendly and pleasant registration process to assure that patient and family needs are met in a timely manner.
Responsible for accurate registration of patient, communication of St James Healthcare policies, financial responsibilities and Patient Rights and Responsibilities according to departmental operating procedures. Ensures compliance with Joint Commission and EMTALA regulations and other regulatory agencies.
Works under the supervision of the Patient Access Manager. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their supervisors.
Accurately access patient medical records
Input physicians orders appropriately to patients records
Review documentation for ongoing patient care
Communicate patient record with ancillary hospital services
Maintains patient confidentiality as outlined by privacy and HIPAA guidelines
Coordinates patient encounter from pre-registration to registration.
Cross trains in other areas of Patient Access and is able to provide adequate coverage based on department needs.
Resolves Physicians office and Patient issues. Must be able to manage extreme patient volumes and uncooperative Patients.
Identifies opportunities to improve patient relations and shorten the time it takes to handle registration processes.
Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy.
Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
Obtains demographic and financial information. Collects point of service dollars at time of visit. Documents all activity in system.
During the pre-service visit, obtains signatures, demographic information, emergency contact information and other pertinent information not previously obtained.
Assess patients financial resources, including identification of possible eligibility for public benefits, those in need of financial assistance or those capable of making payment at time of service.
Responsible for scanning patients insurance card and identification at time of service.
Responsible for identification of co pay and deductibles, communicating patient financial responsibility at point of service and collection of such patient responsibility at point of service.
Communicates to Physician Office to obtain accurate and complete orders for services at St James Healthcare.
Coordinates self pay patient flow to appropriate Patient Access or HCFS staff.
Will screen for and process non-covered service and waiver of liability (ABN) through automated screening at time of service.
Reviews input and audits quality to assure accuracy in all aspects of the position, particularly patient type, financial class and insurance codes.
Will escort patient to designated location according to preference and physical need (e.g., walking, wheelchair, stretcher).
Will ask patients, per policy, to leave valuables at home. If necessary, patient valuables will be locked in hospital safe.
Attend all mandatory department meetings and other education, orientation and/or training as required by St James Healthcare.
Demonstrates technical accuracy, excellent communication skills and the highest ethical standards.
Demonstrates behaviors consistent with organizational mission and goals.
Follows all applicable hospital policies and procedures.
Participates in facility Quality Improvement/IOP Program.
Follows policies and procedures for infection control and facility safety in accordance with regulatory guidelines.
Other duties as assigned by the Director or other members of management.
Knowledge of function and relationships within a hospital environment preferred Customer service skills and experience
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
Understanding of Compliance standards preferred
Must be available to work hours and days as needed based on departmental/system demands \
This position requires technical accuracy, excellent communication skills and the highest ethical standards. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
High School Diploma or equivalent
Previous Customer Service experience preferred
Previous administrative experience in medical facility, health insurance, or related area preferred
Some college coursework is preferred
Understanding of Third Party payor requirements preferred
CERTIFICATES, LICENSES, REGISTRATIONS
Friends and Family BLS required within 6 months of hire date
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to add and subtract two digit numbers and to multiply and divide with 10s and 100s. Ability to perform these operations using units of American money and weight measurement, volume and distance.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Physical Demands Light-lifting 20 lbs maximum with frequent lifting/carrying up to 10 lbs General office environment, non-smoking, moderate noise level.
SCL Health is a faith-based, nonprofit healthcare organization that operates eight hospitals, four safety net clinics, one children’s mental health center and more than 190 ambulatory service centers in three states – Colorado, Kansas and Montana. The health system includes 15,000 full-time associates and more than 500 employed providers.