Job: new Patient Access Lead - NW - Corona Road - Full-Time - Days

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Posted: 06/13/2018

Job Status: Full Time

Job Reference #: 1824515

Job Description

Northwest Medical Center is a 300-bed hospital offering a full range of healthcare services including emergency services, accredited chest pain and heart failure programs, neurology and neurosurgery, outpatient imaging, a nationally accredited surgical weight loss program, total joint program, spine program and stroke center (recognized with Gold Seal designations by The Joint Commission), robotic surgery, GI lab, a free-standing women’s center, inpatient rehabilitation facility, wound care center, five urgent care facilities, and three ambulatory surgery centers. NMC also has several affiliated physician practices including Northwest Allied Physicians offering primary care and a wide range of specialists, Desert Cardiology of Tucson, Heart Center of Southern Arizona and Northwest Heart & Vascular. NMC is accredited by The Joint Commission and is an equal opportunity employer: race, gender, disability and Veteran status, and VEVRAA Federal Contractor - priority referral Protected Veterans requested.

Summary: Assists management in providing leadership and back up coverage for all functions on all shifts. Assists in monitoring front end functions to enable the department to achieve its productivity, quality assurance and financial goals. Ensures effective and efficient processing of patient flow and front end operations.

Essential Functions:
1. Verifies and accurately enters demographic and insurance information in the hospital computer system. Completes all forms related to the registration process to maintain compliance with hospital and regulatory agencies. Initiates DES applications on all uninsured or underinsured patients.
2. Oversees the daily activities of the registration area to ensure department standards are met. Maintains effectiveness of patient flow. Assumes on-call responsibilities to insure adequate staffing and problem-solving. When needed, assists with registration in any and all areas.
3. Assists management with developing, modifying and maintaining department policies, procedures, forms, logs and reports. Trains staff on department processes, provides feedback to staff and updates management with outcomes of the training. Performs QA and provides feedback to staff.  Maintains grids according to established protocols for statistical reports.
4. Adheres to eligibility and authorization requirements on all scheduled/registered patients. Adheres to notification guidelines for third party payors to prevent denials and to ensure proper billing.
5. Responsible for maintaining and completing  accurate bed check and midnight census process.
6. Adheres to facility POS Collection guidelines, which includes but is not limited to proper cashiering procedures and documentation requirements.
7. Clearly documents activities and actions taken on accounts, which includes but is not limited to registration results, completed forms, copies of insurance cards and ID, eligibility, authorization, communications with patients, staff and clinical departments.
8. Meets or exceeds department quality assurance standards, which includes but is not limited to self audits, audit scores, compliance reports.
9. Maintains current knowledge of department standards/requirements through participation in education programs, in-service meetings and department communications.  Timely, reads and takes appropriate action with any and all communications received.  


Education: High School diploma/GED preferred or equivalent years of experience required.
Experience: Two (2) years registration experience OR  one (1) year experience as Patient Access Representative in NMC. Hospital billing and insurance verification preferred.
Skills: Knowledge of applicable HCFA and other regulatory requirements, including third party payer procedures and practices required. Working knowledge of medical terminology, good human relations and analytical skills required, ability to use computerized Admitting/Billing system. Communicates effectively orally or in writing.

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