OTHER

FEED

UNKNOWN

Compliance/Safety* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. * Acts as an expert resource to clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.

Overview:
<p style="margin:0px">The Patient Access Admissions Counselor is responsible for the verification and collection of patient demographic and insurance information by direct data entry to the electronic medical record during the scheduling/pre-admit or admission process prior to discharge. Performs verification of insurance benefits, documents current coverage and eligibility details, and completes timely notifications for required authorization of services. Ensures authorization for surgical/special interventional procedures and inpatient/observation hospital stays is secured with appropriate system documentation. Provides financial education and counseling to the patient related to insurance coverage, financial liability, and investigates avenues for alternate payer source or eligibility for financial assistance. Acts as an expert knowledge resource for clinical areas, Nursing Units or Care Management related to registration and financial counseling questions or issues.</p>

Responsibilities:
<div id="custom_comp_9_1"><div><div class="paddingMediumSides"><table><tbody><tr><td><div class="paddingSmallTopBottom"><strong>Patient Registration/Scheduling</strong></div><div class="paddingSmallBottom" id="custom_comp_text_9_1"><div>* Demonstrates high degree of proficiency in computer skills and Microsoft applications; includes navigation of web-based or system applications required for Patient Access Services with keyboarding of 50+ wpm.<br/><br/>* Accurate identification of patient for direct data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned procedures.<br/><br/>* Provides detailed explanation of scheduled procedures and patient instructions that are associated to the medical service.<br/><br/>* Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment.<br/><br/>* Provides explanation of legal forms and secures signature of patient/authorized party as required for services.<br/><br/>* Performs medical necessity checking for identified services; secures required ABN documentation as appropriate.<br/><br/>* Demonstrates thorough understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations.</div></div></td></tr></tbody></table></div></div></div><div id="custom_comp_9_2"><div class="text-align-end" id="spacer_9_2"> </div><div><div class="paddingMediumSides"><table><tbody><tr><td><div class="paddingSmallTopBottom"><strong>Insurance Verification for Eligibility/Authorization</strong></div><div class="paddingSmallBottom" id="custom_comp_text_9_2"><div>* Accurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services<br/><br/>* Navigates web-based products or system applications to initiate and document insurance eligibility, benefit details, authorization requirements.<br/><br/>* Performs required notifications to ensure insurance authorization for identified medical services, including surgical/special interventional procedures and inpatient/observation stays, are secured and documented.<br/><br/>* Demonstrates advanced knowledge of CPT, ICD10 coding, and physician order documentation as required for medical services including determinations for medical necessity.</div></div></td></tr></tbody></table></div></div></div><div id="custom_comp_9_3"><div class="text-align-end" id="spacer_9_3"> </div><div><div class="paddingMediumSides"><table><tbody><tr><td><div class="paddingSmallTopBottom"><strong>Financial Counseling</strong></div><div class="paddingSmallBottom" id="custom_comp_text_9_3"><div>* Demonstrates expert knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers.<br/><br/>* Educates the patient on insurance eligibility, coverage, procedure costs, alternate resources for financial assistance, and payment arrangement guidelines.<br/><br/>* Uses professional negotiation techniques to collect identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps.<br/><br/>* Navigates web based products to initiate, document, and provide charge estimation for Inpatient/Observation stays, Surgical/Special Interventional procedures or service categories based on patient requests or financial counseling needs.<br/><br/>* Demonstrates advanced conflict resolution skills to address issues related to scheduling, registration or the financial assistance application approval process.<br/><br/>* Makes direct contact on behalf of the patient to providers, insurance representatives, or outside agencies such as Arizona Department of Economic Security to initiate and monitor success of AHCCCS application process.<br/><br/>* Monitors system work lists to provide necessary financial counseling follow-up for private pay patients in the Emergency Department and Inpatient/Observation settings. Ensures patient account is updated to reflect new payer source(s).</div></div></td></tr></tbody></table></div></div></div><div id="custom_comp_9_4"><div class="text-align-end" id="spacer_9_4"> </div><div><div class="paddingMediumSides"><table><tbody><tr><td><div class="paddingSmallTopBottom"><strong>Revenue Cycle Support for Hospital or Clinical Services</strong></div><div class="paddingSmallBottom" id="custom_comp_text_9_4"><div>* Handles department call volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments.<br/><br/>* Acts as an expert resource to clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.<br/><br/>* Coordinates information with Nursing Units or Care Management related to registration, financial counseling, or insurance coverage and benefit limits affecting patient length of stay and discharge planning efforts.<br/><br/>* Monitors and analyzes Revenue Cycle reports and system work lists to ensure accuracy of patient record and that all process steps, insurance requirements, and compliance standards have been met for scheduling, registration, and financial counseling activities.</div></div></td></tr></tbody></table></div></div></div><div id="custom_comp_9_5"><div class="text-align-end" id="spacer_9_5"> </div><div><div class="paddingMediumSides"><table><tbody><tr><td><div class="paddingSmallTopBottom"><strong>Compliance/Safety</strong></div><div class="paddingSmallBottom" id="custom_comp_text_9_5"><div>* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.<br/><br/>* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.<br/><br/>* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.<br/><br/>* Completes all company mandatory modules and required job-specific training in the specified time frame.</div></div></td></tr></tbody></table></div></div></div>

Qualifications:
<div id="section_4"><div class="uxPanelWrapper"><div class="header"><div class="wrapper"><div><table border="0"><tbody><tr><td><strong>Education</strong></td></tr></tbody></table></div></div></div></div><div class="uiPadding"><div class="paddingMediumSides paddingSmallBottom"><ul><li id="jdb_custom_expandable_freeText">High School Diploma or GED- Required<br/></li><li>Associate's Degree- Preferred</li></ul></div></div></div><div id="section_11"><div class="uxPanelWrapper"><div class="header"><div class="wrapper"> </div></div></div></div><div id="section_10"><div class="uxPanelWrapper"><div class="header"><div class="wrapper"><div><table border="0"><tbody><tr><td><strong>Experience</strong></td></tr></tbody></table></div></div></div></div><div class="uiPadding"><ul><li class="paddingMediumBottom">2 years in a customer service role- Required</li><li class="paddingMediumSides paddingSmallBottom"><div id="jdb_custom_expandable_freeText">Proficiency in Microsoft applications (Excel, Word, PowerPoint)- Required<br/></div></li><li class="paddingMediumSides paddingSmallBottom"><div id="jdb_custom_expandable_freeText">3 - 5 years experience in a medical facility, health insurance, or related medical field- Preferred<br/></div></li><li id="jdb_custom_expandable_freeText">Medical Terminology course work- Preferred<br/><br/></li></ul><p style="margin:0px">Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.</p></div></div>

Northern Arizona Healthcare Corporation

Admissions Counselor - Flagstaff, AZ

Academic Advice

Call Volume

Clinical Medicine

Clinical Nursing

Computer Software

Corporate Policies

Current Procedural Terminology (CPT)

Customer Support/Service

Data Entry

Demographics

Direct Data Entry

Discharge Plans

Documentation

Electronic Medical Records

Emergency Care

Environmental Monitoring

Federal Laws and Regulations

Financial Analysis

Financial Liability

HIPAA (Health Insurance Portability and Accountability Act)

Health Insurance

Healthcare

High School Diploma

Hospital

ICD-10

Insurance

Insurance Documentation

Medicaid

Medical Billing

Medical Coding

Medical Records

Medical Terminology

Medical Treatment

Medicare

Microsoft Excel

Microsoft PowerPoint

Microsoft Product Family

Microsoft Word

Negotiation Skills

Nursing

Patient Admissions

Patient Care

Patient Care Authorizations

Patient Confidentiality

Patient Education

Project Tracking

Reconciliation

Regulations

Regulatory Compliance

Revenue Analysis

Revenue/Sales Reporting

Safety Compliance

Safety Training

Safety/Work Safety

State Laws and Regulations

Surgical Procedures

Third-Party Payer

Time Management

Training Program

Training/Teaching

Vendor/Supplier Selection

Worker's Compensation

[AW]-iCims

Meet with prospective residents/guardians and obtaining required information and signatures on all required releases, insurance pre-authorizations, identification records, authorizations, and admission agreements, etc. Utilize CRM, Point Click Care, to maintain a current listing of all residents, their level of care, and assigned room numbers.

<strong>Essential Job Functions:</strong><br/><ul><li>Accept, assess and process patient referral information from acute care systems and case managers, to facilitate admission. Goal is to meet or exceed budgeted daily census for the health and rehabilitation community. </li><li>Meet with prospective residents/guardians and obtaining required information and signatures on all required releases, insurance pre-authorizations, identification records, authorizations, and admission agreements, etc. </li><li>Assist in the orientation program, Happy You're Here, of admitted residents. Explain to the resident, and/or guardian, room rates, billing procedures, visitors/guest privileges, restrictions, resident care procedures, etc., as appropriate. </li><li>Utilize CRM, Point Click Care, to maintain a current listing of all residents, their level of care, and assigned room numbers. </li><li>Work with regional corporate support on marketing plans and weekly admissions reports to track success. </li><li>Occasional outreach to local acute care systems and case managers may be required. </li><li> Perform other job-related duties as assigned. </li></ul><strong>Knowledge and Critical Skills:</strong><br/><ul><li> Be able to make independent decisions and follow instructions. </li><li>Deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public. </li><li>Capable of working with ill, disabled, elderly, and emotionally upset people within the facility. </li><li>Communicate effectively in a manner that is sufficient for effective communication with supervisors, team members, prospects, residents, and families. </li></ul><strong>Education and Experience:</strong><ul><li>Must meet all applicable state and federal requirements for this position. </li><li>Minimum one (1) year experience in senior housing or health care. </li><li>Must have a valid driver's license and operable vehicle. </li><li>Knowledgeable of laws, regulations and guidelines pertaining to senior housing and assisted living. </li><li>Knowledge with Microsoft Office Suite (Word, PowerPoint, Publisher, Excel, Outlook) preferred. </li></ul><strong>Supervisory Responsibility</strong><br/><ul><li>This position does not have direct reports or supervisory requirements. </li></ul><strong>Working Conditions and Physical Demands:</strong><br/><br/>Tasks assigned to this position may involve potential and/or direct exposure to blood, body fluids, infectious diseases, air contaminants, and hazardous chemicals. <br/><br/><strong>Physical Requirements - </strong>The Physical activities of this position involve: <ul><li>Prolonged periods of sitting at a desk and working on a computer </li><li>Must be able to push, pull, move and or lift a minimum of 25 pounds </li></ul><strong>Cognitive Requirements - </strong>The Cognitive activities with or without prosthetics of this position are: <ul><li>Executes tasks independently </li><li>Ability to express yourself clearly and effectively </li><li>General commuter literacy </li></ul><strong>Environmental Requirements - </strong>An individual in this position may be exposed to: <ul><li> Ambient room temperatures, lighting and traditional office equipment as found in a typical office environment </li></ul><strong>Other Requirements:</strong><ul><li>Off-site travel may be required </li></ul><br/><strong><strong>Conclusion:</strong></strong><br/><br/>All employees are expected to follow all policies and procedures. These policies and procedures can be found in the employee handbook, department policy and procedure manuals and with your supervisor. This job description is intended to convey information essential to understanding the scope of the position and it is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with the position. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities at any time.

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Admissions Jobs in Flagstaff, AZ

Admissions Counselor - Flagstaff, AZ Northern Arizona Healthcare Corporation

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