Patient Access Lead in Emergency Department

3 weeks ago

Chandler, Arizona, United States Optum Full time

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS**Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together.


The
Patient Access Lead functions as an integral member of the team and is the first point of contact for all persons inquiring about the provider's practice.

The primary role is to organize the practice's daily activities and paperwork, while ensuring a positive patient experience throughout the financial clearance process.

Primary duties include financially clearing patients prior to discharge, counseling patients about their financial liability, verifying payer sources, assessing and referring patients to alternative payment sources, including the Payment Assistance Program and government and non-government-based payment assistance programs.

The Patient Access Lead is able to work in all registration areas as needed.

Working under the supervision of the Registration Leadership, this position is responsible for assisting the Registration Management Team with training, quality assurance review and reporting, and developing and maintaining the staff schedules.

The Patient Access Lead ensures timely, accurate and complete capture of all demographic and insurance information to ensure appropriate reimbursement for services rendered.

In addition, the Patient Access Lead determines and collects the patient's financial liability and/or arranges payment plans for patients in need of them.

The Patient Access Lead is an information source for patients and families by explaining hospital policies, patient
financial obligations, alternative payer sources, and Patient Rights and Responsibilities

Hours:
This position is full-time, Sunday, Monday, and Tuesday 5:00pm to 5:30am. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours during training will be 7:00am to 3:30pm AZ Time, Monday - Friday.

Primary Responsibilities:

  • Maintains uptodate knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units
  • Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration
  • Properly identifies the patient to ensure medical record numbers are not duplicated
  • Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete
  • Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes
  • Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement
  • Carefully reviews all information entered in ADT on preregistered accounts. Verifies all information with patient at time of registration; corrects any errors identified
  • Identifies all forms requiring patient/guarantor signature and obtains signatures
  • Ensures all required documents are scanned into the appropriate system(s)
  • Identifies all appropriate printed material handouts for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
  • Follows "downtime" procedures by manually entering patient information; identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
  • Follows EMTALAcompliant registration steps for both Emergency Department and Labor and Delivery areas
  • Assesses selfpay patients for presumptive eligibility and when appropriate, initiates the process
  • In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc. as required
  • Monitors and addresses tasks associated with the Mede/Analytics PAI tool
  • Follows approved scripting, verifies insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to d

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