Lead Patient Access Professional

5 months ago

Omaha, United States Methodist Health System Full time
Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:
Location: Methodist Women's Hospital
Address: 707 N. 190th Plaza - Elkhorn, NE

Work schedule: Varies on department needs. On call every 6th weekend.

Responsible for serving as a staff resource for all areas of registration. Registers and dismisses patients in a courteous and timely manner. Creates accurate patient records during the registration process through verification of patient demographics, financial, and visit information. Electronically verifies payer source/eligibility, patient financial responsibility, and performs point of service collections, as appropriate. Makes referrals to financial counselor, as appropriate. Ensures a high level of customer service accordance to the mission and vision of the organization. The Patient Access Professional follows EMTALA guidelines when registering in the Emergency Department.

The Lead Access Professional is an expert in registration process, policies and procedures and serves as a staff resource for all areas of registration. The lead assists department management with administrative functions for the department in addition to registration duties such as staff scheduling, registration compliance monitoring and performance improvement projects, ordering of department supplies and assisting in the training of new employees.

Responsibilities:

Essential Functions

Greets patients professionally and utilizes triage guidelines to alert clinical team members of urgent situations.
  • Follows EMTALA guidelines when registering in the Emergency Department.
  • Follows Code Triage Process as defined by the clinical staff.
  • Effectively deals with anxious and agitated people in a calm, professional manner.
  • Verbally de-escalates patients and/or family/friends upset with situation/services/requests.
Following EMTALA guidelines when working in the Emergency Department, performs bedside registration and insurance verification accurately and in a timely manner, ensuring all demographic and payer information is correct in accordance with policies and procedures.
  • Collects patient identification information to create a "quick registration".
  • Notifies triage clinical team member of patient arrival and chief complaint.
  • Following EMTALA guidelines, collaborates with the clinical team to identify the appropriate time when the patient condition has stabilized to proceed to the patient bedside to complete the registration process.
  • Collects and updates the remaining patient demographic information and photo IDs in the electronic registration record.
  • Verifies insurance eligibility using electronic work queues and updates the electronic registration record and scans insurance cards into registration record.
  • Completes Medicare Secondary Payer questionnaire and other payer specific documents as required.
  • Reviews and signs admission paperwork with patient/patient representative.
  • Utilizes the translation services, as needed, to ensure accurate data collection.
  • Gives patients/representatives copies of all signed documents as appropriate.
Advises patient of financial responsibility in a respectful and courteous manner and performs point of service collections according to policy.
  • Communicates patient financial responsibility.
  • Reviews patient financial estimates and liability waivers, as appropriate and adds completed documents to the patient registration record. Gives patient/representative a copy of the financial liability document(s).
  • Attempts collection of co-pays or other patient financial responsibilities on all encounters as appropriate. Documents collection attempts and reason collection attempt failed. Meets or exceeds POS Collection goals.
  • Processes and manages payments/collections appropriately and securely in accordance with policy. Notifies supervisor of any cash discrepancies in a timely manner.
  • Refers patients to the Patient Financial Counselors, as appropriate and upon request.
The Lead Access Professional serves as a resource to the department.
  • Serves as a primary trainer for new employees.
  • Cross trains and supports staffing in multiple registration areas across the department.
  • Accurately performs lab order entry.
  • Assumes other administrative duties to support the operations of the department.
  • Assists department management with staff scheduling, registration compliance monitoring and performance improvement projects.
Schedule:

Varies on department needs. On call every 6th weekend.

Job Description:

Job Requirements

Education
  • High School Diploma or General Educational Development (G.E.D) required.
License/Certifications
  • Requires the ability to provide transportation to other campus locations within a reasonable timeframe.
  • American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
Experience
  • Minimum of 2 years previous health care registration in a clinical/ED environment required.
  • Medical terminology preferred.
  • Previous customer service, insurance or billing experience required.
  • Previous direct patient care experience preferred, e.g. Certified Nurse Assistant (CNA)/Medical Assistant/Emergency Medical Technician (EMT).
  • Demonstrated experience working with agitated and/or anxious people or working in a high stress or noisy environment required.
Skills
  • Strong computer skills including ability to open and navigate Outlook, and attachments in Work and Excel.
  • Ability to utilize a scanner and copier.
  • Skills in basic mathematics to support collections of payments: including addition, subtraction, multiplication, and division.
  • Ability to work independently and to collect data from patients required for entry into the system.
  • Ability to multitask with strong attention to details.
  • Ability to relate to patients and fellow workers and deal with people in a crisis situation.
  • Ability to transport/escort patients and guests/family members to appropriate locations via stairs, elevators or ramps.
  • Ability to communicate with others through a glass barrier.
Physical Requirements

Physical
  • Weight Demands
    • Medium Work - Exerting up to 50 pounds of force.
  • Physical Activity
    • Not necessary for the position (0%):
      • Climbing
      • Crawling
      • Kneeling
    • Occasionally Performed (1%-33%):
      • Balancing
      • Carrying
      • Crouching
      • Distinguish colors
      • Grasping
      • Lifting
      • Pulling/Pushing
      • Standing
      • Stooping/bending
      • Twisting
      • Walking
    • Frequently Performed (34%-66%):
      • Fingering/Touching
      • Keyboarding/typing
      • Reaching
      • Repetitive Motions
      • Sitting
      • Speaking/talking
    • Constantly Performed (67%-100%):
      • Hearing
      • Seeing/Visual
Hazards
  • Not Related:
    • Chemical agents (Toxic, Corrosive, Flammable, Latex)
    • Equipment/Machinery/Tools
    • Explosives (pressurized gas)
    • Electrical Shock/Static
    • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
    • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
    • Mechanical moving parts/vibrations
  • Occasionally (34%-66%):
    • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
    • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)


About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.

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