Where Compassion Meets Innovation and Technology
Thank you for your interest in joining our team! Please review the job information below.
This is not a remote position.
General Purpose of Job :
This position reports to the Central Patient Access Supervisor. This position is responsible for the support functions necessary to accomplishing the objective of the service department at the servicing facility. These include but are not limited to functions under the categories of referral creation, insurance verification, authorization procurement, pre-service patient contact and documentation of actions taken to collect out of pocket expenses. Exercising appropriate age-specific communication skills and safety practice when interacting with customers, patients, and families. Attention to detail is required due to the complex nature of handling multiple specialties at multiple facility locations. These locations include Driscoll Children's Hospital Main Campus, Driscoll Children's Hospital RGV, CPSST locations Laredo, McAllen, Brownsville, Pleasanton, Victoria, Harlingen, and Corpus Christi locations.
Essential Duties and Responsibilities :
- Maintains utmost level of confidentiality at all times.
- 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 complies with customer service standards and dress code as set forth by the hospital and the department.
- Attention to detail is required due to the complex nature of handling multiple specialties at multiple facility locations. These locations include Driscoll Children's Hospital Main Campus, Driscoll Children's Hospital RGV, CPSST locations Laredo, McAllen, Brownsville, Pleasanton, Victoria, Harlingen, and Corpus Christi locations.
Customer Service Duties :
Answers the department telephone immediately or within three rings utilizing courtesy and patienceListens to customer needs and takes appropriate action as indicatedRespond to urgent emails and voicemails promptlyGather patient demographic and financial information in a kind and courteous mannerDocument telephone encounters.Call patients to confirm appointment times and offer any other pertinent information such as out of pocket expense, education, directions, parking information, etc.Conduct warm transfers as neededRespond to urgent emails and voicemails promptly, and respond to non-urgent emails and voicemails at the end of the dayPlace outbound calls to referring providers or guardians (for self-referrals) to obtain missing and validate existing information based on treatment locationFacilitate referral intake based on treatment locationAttempt to reach patient guardian to communicate any pre-visit instructions as necessaryComplete any additional ancillary tasksPatient Accounting Duties :
Accurately create patient encounter in patient accounting systems utilizing the appropriate patient search criteria and interview methodVerify patient's insurance benefit and document findings, this process should be completed in the appropriate timeframe for the service being providedRefer cases for financial screening as indicatedComplete all authorization procurement work functions as indicatedAccurately collect and enter patient demographics into patient accounting systems as indicatedPopulate referral data elements into Epic Referral Record as indicatedComplete all pre-service work functions on items in the Epic work queues in accordance with defined policies and proceduresComplete documentation in Epic according to Driscoll Health System and department documentation guidelinesCollect, submit and file documents as appropriateQuality Assurance Duties :
Review schedule / pre-registrations / registrations to identify potential duplicate medical record numbers.Update data discrepancies in Epic.Identify patients with multiple same day visits to match demographic and insurance data for each pre-registration.Review patient demographic and financial data to ensure accuracyValidate verification and documentation of insurance eligibility and coverage for anticipated procedures.Validate insurance authorizations was obtained from referring physicians and payors when necessary / appropriate.Reviews pre-registration list for cancellations and notify department as indicated.Identify patients that are missing any pre-registration itemsCheck for referral minimum data set elementsPatient Financial Duties :
Review documented notes for payment requirements; explains insurance benefits as quoted to us by their insurance carrier, and collects patient's out of pocket expensesDetermine if patient is responsible for any payment of service and document how payment is calculated and receivedRefer cases for financial screening as indicated.Prepare hospital receipt for payment received.Validates address and phone numberEnsure all paperwork is complete and all documents are correctly filed or attached to patients recordCashiering Duties :
Cash box will be in balance at all timesPayments received will be receipted and accounted for at all timesEducation and / or Experience :
High school diploma or general education degree (GED); or one to three months related experience and / or training; or equivalent combination of education and experience.