Sr Patient Access Rep-Phleb
*Will rotate to various POMH locations in Interlochen, Empire, Benzonia and Frankfort as needed*
ENTRY REQUIREMENTS High school graduate. Two years of experience in a hospital or health related field with focus on medical registration strongly desired. Completion of medical terminology course also desirable. Applicants must be proficient in MS Word with knowledge of Windows based applications and possess a proven ability to effectively use multiple computer systems and be able to pass a typing test of at least 45 net words per minute. Proven ability to communicate effectively with both public and coworkers orally and in writing, and the ability to work positively with all levels of clinical staff. Familiarity with ICD .9 and CPT - 4 coding systems desired. Assertiveness, organizational skills, effective time management, flexibility and self-motivation are essential. Human relations and interpersonal skills are required. Ability to perform general clerical duties such as filing, faxing, data collection, type written correspondence, etc., is required. Familiar with phlebotomy techniques from infant to adult. Knowledgte of specimen collection parameters.
Central Scheduling Component: Schedules POMH specialty clinic appointments, Radiology, OR, and Cardiopulmonary patients for appointments/procedures. Serves as liaison to schedule appointments with other specialty providers in the region. Scheduling: Tempus One Uses software to schedule various appointments that don't require clinical intervention. This includes, but is not limited to, Non-interventional Radiology, misc. therapies, procedures, and clinic appointments.
Phlebotomy Component: Recognizes the fact that he/she is our primary contact with outpatients and, therefore, is responsible for the first impression the patient has with our laboratory. Smiles, remains pleasant, and empathizes with the patient. Works frequently under stress due to multiple emergent and timed blood testing requests. Remains calm and efficiently follows proper procedure in stressful and/or emergent situations. Walks or stands most of the day. Activities are controlled by defined procedures and predetermined schedules. However, the priority of work must be determined by the individual on a continual basis. The performance of work is subject to constant interruption and re-prioritization due to different emergent situations that frequently arise during the day. Collects blood from clinic patients according to established procedures and policies. Includes capillary punctures and venipuncture on infants and adults. Draws blood from children and infants, recognizing the fact that the laboratory procedures will enhance the child's well being. Uses computer as related to specimen collection, specimen flow, and specimen referral. Performs and records near-patient laboratory testing procedures. May include instrument checks and quality control procedures. Administers basic first aid to patients who have fainted during puncture procedures. Recognizes and requests emergency assistance when needed. Keeps neat and maintains the specimen receiving areas and phlebotomy workstations. Orders storeroom items, anticipates other supply needs, and manages inventory with specific attention to outdates. Performs and records regular maintenance of refrigerators, freezers, and centrifuges. Prepares 24-hour urine containers with proper preservatives and labels, with appropriate warning labels. Follows up on specimens that are misplaced or unsuitable for analysis. This may involve redrawing the patient, or calling the patient back to the laboratory. Assists the staff in answering the phone, providing results, filing, and computer entry as needed. May process specimens for shipment and testing at reference laboratories through Munson Medical Center. This procedure involves collection, preparation for shipment, communication with courier, computer entry and other functions, record keeping, and maintaining sufficient supplies for collection and shipment. May involve communications with reference labs. May be required to transport specimens to laboratory. Obtains satisfactory rating on each section of phlebotomy evaluation checklist at end of probationary period. Responsible for maintenance of quality control testing as required. Maintains logs for date retrieval for volume information and fiscal accountability.
PAS Component: SPECIFIC DUTIES This listing of specific duties encompasses the major range of duties / responsibilities to be performed by the individual in this position. The position performs under general guidelines, making frequent decisions about appropriateness of data collection. It is a position that determines appropriate, trouble free billing of accounts to multiple insurance companies with varying requirements and regulations. Continuous interaction with customers occurs and is expected to be friendly, appropriate and accurate. It should be understood that this is not meant to be a complete listing, and that such duties/responsibilities are subject to adjustment given the nature of this position. Further, it is understood that this listing will include all other duties as assigned. As the first line of communication with the public and outside callers, this individual must create a professional image for Paul Oliver Memorial Hospital through outstanding telephone courtesy, pleasantness, the ability to keep their composure and the use of judgment and tact in dealing with others in normal working contacts. Maintain a professional working relationship with patients, patient's families, staff members, ancillary services, medical staff and present a good hospital image to the people inside and outside the organization in a manner that encourages teamwork. Based on knowledge of records and procedures must recognize potential problems and bring them to the attention of the appropriate person, use judgment when dealing with outside calls as to what information to give out and how to handle a problem call and to work effectively with other team members and departments. Receive all patient information from physician's office and ancillary departments, organize information for action and easy retrieval, gather and organize information in regard to medical histories and physical, lab, x-ray, EKG reports and other pertinent patient information from hospital departments and physician office for patient surgical and procedure charts in a timely manner.
Registration Responsibilities: Obtains/verifies all required patient information and enters the information into the registration system following the screen flow in an accurate manner. Completes all assigned registrations in an expedient manner subject to department requirements. Prints, reviews and proofreads completed registration forms before releasing to patient care areas. Responsible for distribution and documentation of the Privacy Notice for HIPAA regulations. Secures patient or guarantor signature for authorization of treatment, release of medical records, assignment of insurance benefits, and HIB testing in the event of an accidental exposure. Contacts family of minor children presenting for care to secure permission for treatment when guardian is unavailable. Verifies and documents presence of Advance Medical Directives and provides education for all adult patients.
Coding/Medical Necessity/ABNs: When appropriate, determines and documents appropriate ICD-9 diagnosis and procedure codes, using 3-M Coding software. Responsible for screening medical necessity and distribution of Advance Beneficiary Notice.
Insurance Responsibilities: Educates/informs patients of insurance requirements as needed. Inputs and updates all insurance information in appropriate screens. Verifies eligibility of all insurances available on line. Identifies primary and secondary insurance. Sequences Blue Cross/Blue Shield, Medicare, Medicaid