Patient Assistance Representative-Ortho - Full-time

Profile

Patient Assistance Representative-Ortho - Full-time

Department:

Center of Excellence

Location:

Rio Rancho, NM

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Job Summary and Scope

Register and/or admit patients to Sandoval Regional Medical Center. Obtain and enter into the system all information necessary to create a complete and accurate patient account. Ensure that appropriate and necessary notifications are made to insurance carriers or agencies. Advise, inform and assist patients before, during and after their date of service. Manage the PBX lines as Switchboard operator. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.

Essential Functions:

POLICIES AND PROCEDURES - Maintain established departmental policies and procedures, objectives, and quality assurance programs

PROFESSIONAL DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops.

Identify for proper medical records, and place ID bands on patients

Interview patients and/or family to obtain accurate demographic and financial information. Update information on Hospital computer system to ensure correct billing and Medical Record

Obtain proper signatures on all State, Federal, and Hospital mandated paperwork

Verify insurance and benefits; provide notification to appropriate payer entities within time frames established by the payers.

Obtain and place authorization in Cerner as needed.

Refer patients to Financial counseling when appropriate, Maintain a knowledge base of financial assistance programs

Perform visits to clinical service areas to interview patients. Follow the clinical guidelines of areas visiting

Review and maintain an accurate Census.

Serve as House Operator to ensure appropriate communications/switchboard operations.

Must know and take action in accordance with all emergency procedures required by SRMC, Facilities, Patient Access and the IT Department

Facilitate responses to alarms on switchboard. (ie Gas Leak, Fire, Electrical outage, Clinical gas outage.)

Answers the telephone promptly and politely, within facility standards and values; Ensures courteous telephone service and respect to all customers internal and external

Must know and take action in accordance with all emergency procedures required by SRMC, Facilities, Patient Access and the IT Department

Announces overhead pages without delay and following the location designated standards

Maintain accuracy and composure while under pressure

Serve as a customer service ambassador for the location -Knowledge of all the services our Facility has to offer from Ancillary services to clinical services as well as proper locations for and phone numbers for these services.

Presents information in a clear, concise and timely manner

Maintain Hospital departmental directories, reports and records; collect statistical data for administrative and regulatory purposes.

Perform miscellaneous job-related duties as assigned.

SRMC Core Values

Integrity:

Our words and actions match our values

To Serve:

We put the needs of others before our own

Excellence:

We strive to exceed expectations and/or standards in every activity, every encounter, and every initiative

Safety/Quality:

We provide evidence based care, programs, services, and an environment that achieves the best outcomes

Teamwork:

We enjoy the ability and power to work collaboratively to deliver exceptional service

Communication Skills

Ability to read and write clearly

Ability to speak clearly and concisely to others

Required Qualifications

Understand and coordinate other departments in emergency situations

Remain calm

Ability to use computer systems

Ability to speak on and use the phone

Education/Experience

Education:

High School Diploma or GED

Preferred Educational/Experience Requirements:

Associates Degree or some college. 2 years’ experience in a business office, Admitting, Registration, billing or PBX operator.

Conditions of Employment

Must pass a pre-employment criminal background check, reference checks and a post offer drug screen.

Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).

Tuberculin Skin Test required annually

Hospital required vaccinations

Hospital required competencies

Working Conditions

Typical office and/or patient care, acute care hospital environment.

Must be able to travel locally between facilities and within the surrounding community.

Occasional exposure to minimal physical risk

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Company info

Sandoval Regional Medical Center