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Patient Access Specialist - Rehab, OT, Speech

Salary Range: $0 to $0 / Per Year
Open Period: 5/18/2018 to 6/2/2018
Summary: At the Tuba City Regional Health Care Corporation, located in Tuba City, Arizona, we pride ourselves on being a place where our employees feel empowered to deliver the kind of care they believe in. The kind of care that attracted them to the healthcare field in the first place. Our employees value the camaraderie, collaboration, and a high-tech environment. Our patients value the genuine care they receive.

The primary purpose of the Patient Access Specialist is to identify patient eligibility for AHCCCS or alternate resources, assist patients on enrollment, and will work closely with Social Security Administration offices (local and regional), Tribal Offices, Community Department of Welfare, Department of Social Services, Stat Medical Assistance Office and other appropriate agencies to ensure implementation of appropriate resources in the fulfillment of the identified goals. Accurately collects and analyzes all required demographic, insurance, financial and clinical data elements necessary to register patients in Stockell. Incumbent is responsible for the provision of routine patient access activity to facilitate efficient operations, expedite reimbursement and optimize customer and employee satisfaction. This position requires the ability to work under conditions of frequent interruptions and willingness to work flexible schedule and be adaptable.
Duties: 1. Performs all activities of ambulatory patient registration and check-in. 2. Maintains and updates all patient data via the RPMS/Stockell Patient Registration System. 3. Assures document scanning, retrieving, and editing and patient identification 4. Interviews patients to obtain pertinent patient registration information 5. Determine patient's insurance coverage, limitations and communicates to patient any co-pays or deductibles. 6. Identifies patient's potential financial liability for a specific service and identifies patients at risk for inability to meet financial liability. Makes referral to an appropriate agency/person. Provides an overview of options available to patients/families. 7. Schedules patients for check-in and check-out using RPMS 8. Performs income screening for Patient Benefits prior to completion of Healthy E application including patient interview 9. Assists patients in completing new/updated forms for medical charts and RPMS/Stockell 10. Identifies and pre-certifies those patients whose health benefits are subject to prior approval to determine the extent of health care for both inpatient and outpatient care 11. Collects a copy of third party recipient health cards for file 12. Assists with Social Security number application as needed with a full explanation to the patients 13. Calls Medical Records department for new patient records number 14. Notifies various departments of action, and makes necessary arrangements for transfer of patient treatment and for possible admission from ER, Short Stay or Outpatient Department. 15. Responsible for all data input into the Stockell patient registration package. 16. Assist patients in application for and uses of alternate resources; works closely with the Business Office and other facility staff in identifying all alternate resources available. These resources are Medicare, Medicaid, Arizona Health Care Cost Containment System (AHCCCS), Department of Veterans Affairs, Bureau of Employment Compensation, Third Party Liability, Workers' Compensation, Children's Special Health Services, Aide to Families with Dependent Children, etc. 17. Assists patients by establishing and verifying eligibility for alternate resources, the incumbent must work closely with the Social Security Administration Offices (local and regional), Tribal Offices, Community Department of Welfare or Human Resources, Department of Social Services, Stat Medical Assistance Office and other appropriate agencies. 18. Provides information on rights and benefits of resources and tactfully advises patient of non-payment or denial of claims. If denials or other rejection of alternate resources occur, incumbent will intervene on patient's behalf in disputing and debating the denial by third party sources. 19. Provides continuous research and updating of information involving changes in rules and regulations for alternate resources 20. Work Schedule Sunday through Saturday Business 8, 10, 12 hours rotational shift including call back schedule 21. Serves as the receptionist for the Physical Rehabilitation Department. Greets visitors, patients, and families, staff and physicians. Provides interpretation skills as necessary. Answers questions and assists therapists and patients with referrals and scheduling. Directs visitors to desired areas, patient rooms, clinical areas and/or other departments. Answers and directs telephone inquiries to appropriate personnel or areas. Uses appropriate telephone courtesy for all telephone interactions, maintaining professionalism even with frustrated patients and providers. Prepares and/or maintains statistical reports, memoranda, work schedules, monthly/quarterly reports, meeting minutes, policies and procedures and other reports as assigned. 22. Ensures designated clinics are stocked with appropriate forms and supplies. Anticipates supply needs to maintain adequate stock at all times. Orders supplies and equipment. Follows-up with Purchasing Department or General Services staff to track orders. 23. Coordinates clinic schedules and subspecialty clinic schedules. Keeps rosters of patients needing special clinic appointments or procedures. Prints clinic schedules and appointment lists and tracks patient arrival/departure times. Obtains all medical charts prior to patients' arrival to the clinic. Manages patient waiting-room flow by communicating with therapists and patients. 24. Collects census and Performance Improvement data on a regular basis. Tracks daily departmental statistics and compiles for a month-end report. 25. Upon reception and discharge of patients: Assures required forms are addressographed correctly, completed and signed by professional staff. Obtains appointments, health care summaries and other reports as needed from the automated database. Communicates with referring offices or other Navajo Area hospitals to obtain appropriate referral documentation and patient health summaries. 26. Ongoing care of patient: Greet patients with each visit. Schedules follow up appointments in coordination with therapist's and patient's schedule. Coordinates appointments for timeliness and to avoid conflicts in patient treatment. 27. Works closely with Phys Rehab Technicians and other support staff with inventory management using spreadsheets/inventory management programs, as needed. Assists with purchasing of durable medical equipment and soft goods, as needed. 28. Provides current and ongoing training to department and hospital staff on the use of Stockell and Alert, but will only provide this service if minimum coverage can be maintained in the physical rehabilitation department – this level to be determined by the PT/OT/ST chiefs. 29. Other duties as assigned.
Qualifications: Education: Must have a High School Diploma or equivalent (GED) Experience: • Must have skills in the practical use of electronic systems to provide interoffice support in Outpatient/Specialty Registration. • Must have a minimum of six (6) months experience in patient job functions. • Must have knowledge in Microsoft Outlook, RPMS/Stockell-Patient Data Entry, interview techniques, private insurance, Medicare/ Medicaid verification. Knowledge of third party billing information • Ability to type 40 words per minute
Work Type: Permanent, Full
Announcement #: TC-2018-0133 (DH6005)
Who May Apply? All Groups of Qualified Individuals
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Name: Bitsui, Alex