St. Luke's University Health Network

Regional academic health network

Patient Access Representative

Clinical Support & Patient AdministrationPosted on Nov 6

Part-timeMacungie, PA, USANo salary listed

About the Job

Requirements

A high school diploma or equivalent is required.
Excellent customer service and interpersonal skills are required.
General computer experience and the ability to type fluently, accurately, and quickly are required.
The employee must sit or stand for up to eight hours per day, with four or more hours at a time.
The employee must frequently use their hands and fingers for data entry and walk, and must be able to push a wheelchair weighing up to 250 pounds.
The employee must occasionally carry or lift up to 15 pounds, and have hearing sufficient for normal conversation and general vision.

Responsibilities

Correctly identify and validate patient selection in the hospital information system to maintain accurate electronic medical records, and identify and report possible identity theft situations to the clinical department and leadership for escalation.
Maintain knowledge of network policies on patient identification, including Mark for Merge, Chart Corrections, and Patient Look-Up.
Complete pre-registration and post-registration needs, including patient demographics, emergency contacts, diagnostic orders, primary care and referring provider information, diagnoses, insurance and guarantor verification, real-time insurance eligibility, point-of-service cash collections, and registration-related patient, account, and claim work queue errors. Contact provider offices and review patient charts for diagnosis and medical-necessity information as needed.
Cross-train in all areas of the location or region. Campus locations require cross-training in outpatient and Emergency Department areas; off-campus outpatient locations require cross-training for other locations where procedures differ.
Greet and direct patients and visitors, provide courteous service, and monitor and enforce the entity’s visitor policy where applicable.
Answer internal and external calls on the department or facility’s main line, provide appropriate information, and answer questions about the facility and its services.
Promote use of the MyChart patient portal and patient self-service capabilities.
Oversee and assist patients with Welcome Kiosk and On My Way technology, including self-scheduled patients and monitoring arrivals and their journey throughout the visit.
Contact the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certifications not already documented in the chart, to reduce denials for missing authorization.
Obtain medical license numbers, National Provider Identifier (NPI), and UPIN information from appropriate websites for new outpatient provider entries to ensure accurate routing of results and claims.
Travel occasionally between campuses or regional locations as required.

Desired Qualifications

A certificate or degree in a health care related field is preferred.
Insurance background is preferred.
Knowledge of medical terminology is preferred.
Previous medical administrative experience and/or health care related education courses are preferred.
Knowledge of the Epic health information system is preferred.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

HOURS:

Per Diem, as scheduled, must be able to work at least 16 hours/month

Schedule:

Flexibility required to cover 2-3 shifts a week on a range of shifts, based on need, varying. Examples of possible shifts available include: 6a-12, 7a-3p, 3p-7p

One Sat/Sun a month required, 7a-12 noon

Location at West End Care Now/lab, with other cross training opportunities available, if desired,

The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. Communicates and coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional locations.

JOB DUTIES AND RESPONSIBILITIES:

Responsible to correctly identify/validate the choosing of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft situations to clinical department and leadership for appropriate escalation.
Maintain knowledge and education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up.
Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information.
Required to cross train in all areas of location or region. Campus locations must be cross trained in outpatient and Emergency Department areas. Outpatient (off-campus) locations must be cross trained for all locations if any different nuances.
Greets/directs patients and visitors for the entire facility. Always provides friendly and courteous service to community and co-workers. Responsible for monitoring and enforcing visitor policy for the entity (if applicable).
Answers internal and external calls on main department/facility line and dispenses appropriate information and answers questions regarding the facility and its services.
Promotes and helps increase usage of MyChart patient portal and patient self-service capabilities to ensure patients are personally engaging in their health care.
Responsible for overseeing and assisting patients with Welcome Kiosk and On My Way technology at network locations. Consists of self-scheduled patients online and monitoring the arrival process and patient’s journey throughout their visit.
Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
Must obtain medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed accurately and claim submission/payment.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting/standing up to 8 hours per day, 4 or more hours at a time. Frequent use of hands/fingers for data entry. Frequently walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 15 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.

MINIMUM QUALIFICATIONS EDUCATION:

High school graduate or equivalent required. Certificate/Degree in health care related field preferred.

TRAINING AND EXPERIENCE:

Excellent customer service and interpersonal skills required. General computer experience and ability to type fluently, accurately, and quickly required. Insurance background preferred. Knowledge of medical terminology preferred. Previous medical administrative experience and/or health care related education courses preferred. Knowledge of health information system (epic) preferred.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

About the Company

St. Luke's University Health Network

Regional academic health network

St. Luke's University Health Network is a nonprofit academic health network serving eastern Pennsylvania and neighboring communities. The network operates hospitals, physician practices, urgent care, outpatient centers, home health, research, and health-professions education. It serves patients, families, clinicians, students, researchers, and communities across its regional footprint. Its operating model centers on integrated care, education, and research supported by systemwide clinical, technology, facilities, and administrative functions. Teams work across nursing, physicians, allied health, research, education, technology, facilities, administration, and patient access. Teams support coordinated daily delivery.

Company size: Not listed
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