Patient Account Specialist I

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 identifica