LEAD PATIENT REPRESENTATIVE
4 weeks ago
Fulltime 40 hours per week
M-F 8am-4:30pm
REPRESENTATIVE RESPONSIBILITIES
* Customer Service
Provides assistance and services to patients, families, staff and external agencies in the accurate completion of patient registration, admission and scheduling across multiple divisions. Investigates and resolves customer requests, questions or problems according to CCHMC policies and procedures. Contacts outside representatives to request information or assistance in resolving problems. Monitors and makes adjustments to optimize patient flow and staff utilization. Act as point of contact for clinical teams.
* Revenue Cycle Support
Supports the Revenue Cycle, Health Information Management, and Regulatory by ensuring that the necessary data, information and forms are obtained and accurately entered into the appropriate system. Talks to management to explain system errors or to recommend changes to the system. Identify and resolve data and insurance coverage errors and trends. Manages escalated cases. Provides constructive feedback and coaching. Identifies trends and escalates to Manager
* Safety
Ensures patient safety by identifying the correct patient. identifying special needs, and preparing isolation precautions for patients who have Infectious Disease indicators. Escalate potential safety concerns regarding patient identity and other safety risks. Act as Team Lead for emergency management.
* HIPAA/Confidentiality
Maintains confidentiality, protects and safeguards patient/family personal medical and financial information at all times during collection, use and storage. Access only information and records necessary to perform the responsibilities of your the position. Provide coaching on HIPAA/Confidentiality concerns, escalating concerns and potential resolutions to management.
* Compliance
Completes and authenticates all documents and questionnaires that ensure compliance with regulatory agencies (JCAHO, CMS, ODH). Escalate compliance concerns and offer resolutions to management. Completes compliance auditing and escalates issues or trends to Manager.
EDUCATION/EXPERIENCE
Required:
* High school diploma or equivalent
* 5 years of work experience in a related job discipline.
Unique Skills:
Enterprise Health record software system proficiency and skilled in reporting/trouble shooting. Maintains Preceptor Program active certification
Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families (EEO/AA).
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