Responsible for timely and accurate patient registration. Interviews patients for all pertinent account information and verifies insurance coverage.
SUPERVISOR - Patient Access Manager (or Supervisor)
SUPERVISES - N/A
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
• Interview patients at workstation or at bedside to obtain all necessary account information. Bed-side registration performed utilizing carts/computers on wheels
• Ensure charts are completed and accurate
• Verify all insurance and obtain pre-certification/authorization
• Calculate and collect patient liable amounts
• Ensure that all necessary signatures are obtained for treatments
• Answer any questions and explains policies clearly
• Process patient charts according to paperwork flow needs and established productivity standards
• Welcome patient and family members in a professional manner. Contact the nursing staff for emergency medical needs and answer patient and visitor questions
• Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
• Assign I-plans accurately and research Patient Visit History to comply with the Medicare 72 hour rule
• Search MPI completely and assign the correct medical code number. Notify Medical Records for any duplicate unit numbers
• Verify insurance benefits and determines pre-certification status. If pre-certification is needed, call the insurance precert department and initiate review or verify authorization number provided by scheduling staff. Enter all information and authorization numbers into the registration system.
• Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties. Obtain copies of necessary identification and insurance cards.
• Explain policies regarding services, charges, insurance billing, and payment of account. Request full or partial payment for services rendered according to collection policies. Issue a Business Office letter to all patients according to policy
• Obtain proper authorization for treatment and approval codes from the insurance carrier for patients presenting for treatment insured by an MCO. Collect co-pays, deposits, and deductibles and documents collection status in the system and chart. Issue waivers for signatures when appropriate.
• Inform former patients or their representatives of delinquent accounts and attempt to obtain payment. Refer delinquent accounts to the Manager/Supervisor for further action
• Receive and receipt payments from patient for services rendered. Prepare daily deposits and maintains the integrity of the cash drawer
• Produce paperwork on each patient for distribution to appropriate departments. Align pertinent documents for establishing the patient's medical record and financial file
• Register and admit all patients after the other registration departments are closed. Route admission documents and forms to appropriate departments
• Price, key, and detail patient charges. Burst charts for distribution to physician's billing service, medical records, ancillary departments, and the business office. Check for double charges on all accounts
• Work with physician offices and ancillary departments, providing information when necessary or forwarding relevant documents
• Document complaints received from patients, the medical staff, and ancillary departments on an incident report form and refer to coordinator for follow-up action
• Acknowledge, file, and send MOX messages via Meditech
• Check for physician orders and attaches them to the patient medical records to ensure that patients are receiving appropriate tests
• Escort patient to his/her destination or refers patient to an available escort
• Activate all pre-registered patients that have reported for services
• Abstract patient charts once discharged for the ER and retrieves a patient Medical Record once they present to ER for treatment
• Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards
• Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
• Other duties as assigned
• At least one year of registration experience preferred
A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom