Job Description

ESTES PARK HEALTH COMPANY DESCRIPTION:

Estes Park Health exists to make a positive difference to the health and well-being of all we serve. Located about 90 miles northwest of Denver, at 7,522 feet above sea level, Estes Park Health sits in the heart of the Rocky Mountains. As a gateway to Rocky Mountain National Park, the adventurous lifestyle Estes Park supplies open endless outdoor opportunities for our staff. We promote a healthy work-life balance to give our staff the time to enjoy the “playground” that is Colorado. From pediatrics to geriatrics, Estes Park Health supplies a full spectrum of care for our friends, neighbors, and visitors in the entire Estes Park Valley and Rocky Mountain National Park. Today, over 18,000 patients—residents and visitors alike—see our health care teams for both outpatient and inpatient services.

SUMMARY:

A Patient Access Representative is responsible for registering patients in a timely and accurate manner. The Representative will gather demographic and insurance information to identify the patient and accuracy of the medical record, while also securing method of payment for services rendered. This includes validating insurance eligibility & benefits information, explaining benefits and authorization processes to our patients, and collecting payment at time of service when appropriate. Communicates with clinical departments involved in the care of the patient, to ensure a good hand off to the patient’s point of service. As the first point of contact at EPH, the Patient Access Representative will maintain a professional and pleasant demeanor that results in a positive experience for new and returning patients.

ESSENTIAL DUTIES:

• Greet and interview patients and/or family to obtain accurate and complete registration information.
• Accurately and efficiently enter all necessary data into EPH Systems.
• Obtains photo identification and insurance cards from patients to ensure identity of patient.
• Communicates with the referring or receiving provider of service so patient can access appropriate care.
• Verifies eligibility of insurance, and benefit information and communicates this information with the patient.
• Collects copayment at time of service and payment options when significant patient liability is identified. Refers patient to Financial Counselor when need is identified for assistance.
• Compliant for requirements related to registering and gathering information for Medicare patients, which includes Medical Necessity, ABN (Advance Beneficiary Notice) and MSPQ (Medicare Secondary Payer Questionnaire).
• Assists with coverage across all registration areas within PFS to effectively handle all functions of the registration process. Must be able to work in two of four registration areas (Outpatient, Clinics, ED, and Urgent Care).
• Assist PFS Billing with special projects as needed.
• Maintain strict confidentiality in accordance with HIPAA guidelines and EPH’s policies and procedures, both at work and in off-hours.
• Courteously answers telephone calls and promptly returns voice mail messages, route calls and take accurate messages as appropriate.
• Participates in staff meetings, team building exercises and educational competencies to ensure Representative is up to date on latest requirements.
• All other duties as assigned.
• Perform in accordance with all local, state and federal laws and regulatory agency standards.
• Perform in accordance with EPH vision, mission and goals.

JOB SPECIFIC - EMERGENCY DEPARTMENT:

• Upon patient arrival, assess patient condition to determine if registration can be performed at the desk area or if patient needs to be taken directly to a room.
• Checks all emergency medical records for completeness before processing; processes orders accurately, efficiently and completely.
• Responsible for Home Health processes during evening, overnight, and weekends.
• Activates trauma team as per protocol.
• Responsible for registering patients for outpatient services after regular business hours.
• If Representative is licensed/certified EMT, will assist medical team in administering Emergency treatment as needed, per guidelines of the Director of the Emergency Department.

JOB SPECIFIC - OUTPATIENT DEPARTMENT:

• Reviews daily schedule for outpatient services to manage all areas of outpatient services.
• Receives estimates for scheduled procedures from Pre-Access Specialist, or creates an estimate when needed and reviews with patient.
• Maintain standing orders for patients receiving recurring labs. On monthly basis, checks current orders for those set to expire and requests from referring physician via fax or phone call.

JOB SPECIFIC – PHYSICIANS’ CLINIC:

• Provides support to physicians and physician support staff, assisting patients in accessing appropriate care. This includes scheduling appointments and assisting with follow up when patients check out.
• Answers multi-line phone system for Physician’s Clinic, assisting with patient questions and routing their need appropriately.
• Complete Daily Provider Schedule (Rounding sheet) and forward to designated areas

KNOWLEDGE, SKILLS & ABILITIES:

• General office practices and procedures.
• Routine software and business applications including, but not limited to, word processing, spreadsheets, presentation software, and databases.
• Communicate clearly and concisely, both verbally and in writing.
• Read and comprehend department and Company rules, regulations, policies, and standard operating procedures.
• Establish and maintain effective working relationships with other employees, representatives of other agencies and organizations, and members of the community.
• Regular, predictable attendance.
• Operation of standard office equipment including fax machines, copiers, and computers.
• English language, proper grammar, punctuation, and spelling in other oral and written communication
• Perform duties independently without close supervision.
• Provide professional customer service to clients and public.
• Maintain sensitive and confidential information.
• Follow written and verbal instructions.
• Organize material and present information clearly and concisely in verbal and written form.
• Current business letter writing techniques and methods.

POSITION REQUIREMENTS:

• High school diploma or equivalent.
• Customer Service skills for communication on the phone and in person.
• Have the ability to communicate effectively and diplomatically within a multi-functional team.
• Bi-lingual skills are a plus.

PAY RANGE:

• 3.00 PRN Differential *does not include shift differentials*
• 19.08-$21.87 per hour

BENEFITS:

We offer a full range of benefits to fit your needs and family for full time and part time employees! All employees are enrolled in a Money Purchase Pension Plan 401(a) which replaces Social Security contributions. You control the investments on-line yourself or with you financial advisor to help it grow. We also offer a 457(b) plan for you to ad additional funds to your investments. Employee Assistance Program – A comprehensive program for you and your family member which includes a national provider network for counseling services, life balance services, legal and financial services Statement Regarding Initial Application: In accordance with the Job Application Fairness Act, any applicant filling out this initial application will not need to disclose any age-identifying information. This standard is upheld in any additional documents submitted alongside this initial application. Any resumes, or additional documentation, that have information that would disclose an applicant’s age can be redacted at the applicant’s discretion. For more information about this opportunity e-mail questions to HR@eph.org. Equal Opportunity Employer: In compliance with federal law, including the provisions of Title VII of the Civil Rights Act of 1964, Section 503 and 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, EPH does not discriminate on the basis of race, sex, religion, color, national or ethnic origin, age, disability, or military service in its administration of policies, programs, activities or employment. In addition, EPH does not discriminate on the basis of sexual orientation or gender identity. The descriptions above are listed as is at the time of posting and could change as needed at any time in accordance with state, local and federal laws.

Job Tags

Hourly pay, Full time, Part time, Relief, Work at office, Local area, Shift work, Night shift, Weekend work, Afternoon shift,

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