Patient Account Specialist II

About the role

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. G ENERAL P URPOSE OF J OB : This position r eport s to the department manager . This position is responsible for the creation of the patient account in the EMR patient accounting system in support of patient care department s and in support of the revenue , billing, and reporting cycle to also secure reimbursement . Th is include s but is not limited to functions under the categories of patient accounting, referral order record management, patient scheduling, pre - registration /registration or pre - admission , admission , verification of patients' benefits, gather & document insurance benefit details, authorization procurement as required by payer policy , creating estimate of cost, documentation of the authorization and/or referral order record , obtaining consent signatures, granting MyChart or MyChart non - patient proxy account access, documentation of actions taken and of patient financial discharge task . This role serves as a key promoter of service excellence which, along with the team, strives to meet and exceed the needs of their customers. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily to achieve clean claim processing . The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all - inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. - Always maintains utmost level of confidentiality. - Adheres to hospital policies and procedures. - Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. - Adheres and comply with customer service standards and dress code as set forth by the hospital and the department. - May be required to work rotating shifts. - This position is an essential role and may be part of the disaster plan A or B team during disaster events. - Occasional travel may be required. Customer Service Duties - utilizing the Driscoll Way to Service Excellence - Answers the department telephone immediately or within three rings utilizing courtesy and patience - Greet patients and their families with courtesy and concern for their needs using the Driscoll Way to Service Excellence - Listens to customer needs and takes appropriate action as indicated. - Work cooperatively with all levels of staffing and care settings to accomplish desired care outcomes. Patient Accounting Duties - The Patient Account Specialist will process patient accounts according to established workflow designs. Work cooperatively with DAC [Driscoll Access Center] staff to process expected ED admissions, direct admissions, and transfers and create CCT or HBRT encounters as indicated . ▪ Process provider orders for care; search for referral order first, if not found, create referral record. ▪ Accurately create patient record and or encounter in patient accounting systems utilizing the appropriate patient search criteria , using the established naming convention, and interview method while being open and transparent with customers. ▪ Gather patient demographic and financial information in a kind and courteous manner. ▪ Verify patient's insurance benefit and document findings, this process should be completed in the appropriate timeframe for the service being provided; refer to Emergency Medical Treatment and Labor Act - EMTALA guidelines for ED arrivals/services ▪ Follow payer requirements for payer authorization procurement workflows and admission notification. ▪ Schedule patients for necessary procedures as indicated, using the appropriate scheduling system and obtain authorization for all planned services as indicted by insurance carrier. ▪ Request and follow cases for required questionnaires & documents such as H&P, PCP Referral, CPS Consents. ▪ Complete an emergency visit arrival event in a timely manner. ▪ Reschedule patients upon patient request and n otify the patient's physician. ▪ Add notes to each encounter in patient account notes as indicated, brief but important details only ▪ Manage an appoin tment waiting list and canceled list as indicated to ensure services are provided promptly ▪ Refer cases for f inancial screening as necessary. ▪ Add a clear copy of picture identification and insurance cards, front and back to the patients Electronic Medical Record - EMR ▪ Explain all business forms and obtain signatures . ▪ Issue Patient Rights and Responsibilities and the hospital's Notice of Privacy Practice as indicated . ▪ Issue patient identification card or wristband identif