Specialist Patient Access Cardiology PRA

Cleveland Clinic in Twinsburg, OH

  • Industry: Healthcare - Allied Health - Others
  • Type: Full Time
position filled
**Description:** **BASIC FUNCTION:** Gathers demographic, insurance and basic medical information for the registration of patients into the hospital computer system. Information may be collected from physicians, physician offices, clinics county health department, nursing facilities, other types of provider referrals and/or through interviews with patients and their families. This involves determination and verification of third-party coverage, appropriate coding of financial and demographic data and referral to appropriate resources to apply for alternative methods of funding when third-party coverage or the patient's ability to pay for services does not meet hospital requirements. Assists in ensuring hospital compliance with federal, state and local statues/regulations and provisions of managed care contracts regarding the authorization for, consent to and confidentiality of all services provided to patients. **SUPERVISORY ACCOUNTABILITY:** None **NATURE AND SCOPE:** The position requires daily communication and interaction patients and families, government and third-party payors, nursing staff, and medical records staff. **PRINCIPAL ACCOUNTABILITIES:** Supports the mission, vision and values of the hospital. Responsible for working in a safe and protective manner at all times, keeping in mind that safety and environmental hazards are the responsibility of all employees for themselves, other staff members and patients. Gathers information necessary to complete the registration of patients accessing healthcare services through telephone, computer inquiries into multiple data bases and/or interviews with patients and their families. Promotes a positive hospital image to physicians, patients and their families through prompt, courteous reception and processing of all patients. Obtains required signatures for consent to treatment, assignment of benefits, release of information, confirmation of information provided, statements of income/third-party coverage, living will/health care proxy and other federal, state and county forms required. Verifies medical insurance coverage for available benefits and obtains authorization for services. Refers patients to appropriate resources for alternative methods of funding for services when the patient lacks coverage or the ability to pay. Maintains confidentiality of all scheduling, registration and admission information. Refers accounts to case management to obtain authorization prior to admission or treatment for inpatients. Insures all necessary registration information is gathered and is accurate, through quality checks of registrations, verifying demographic and insurance information for accuracy and completeness. Makes necessary corrections. Advises patient of non-coverage, insurance company refusal to authorize treatment or referral and deductible or coinsurance amounts due. Explains hospital payment policies, calculates and collects amounts due from patients and issues receipts. Prepares payments collected for delivery and deposit. Reconciles cash drawer daily. Notifies nursing services and arranges escort of patient to room (in-patient) and directs patient to appropriate ancillary department (out-patient). Posts CPT charges to account. Also, post co pays to the patients account. Must have a working knowledge of ICD-9, CPT Coding and HIPPA regulations. Answers incoming phone calls and able to take reliable messages if necessary, or transfer to correct department. Able to work directly with nurses and physicians. Accurate scanning of medical records into HPF medical record system. Filing of medical records. Able to pull past files and assemble charts for clinical staff. Gathers complete and accurate demographic, insurance and required medical information in a timely manner. These registrations may be completed at any registration area. This includes main admitting, ED registration, lab express, outpatient registrations and the urgent care centers. Obtains copies of living will, power of attorney/healthcare proxy, worker's compensation or other pertinent information. Verifies insurance information provided to confirm eligibility and determines benefits payable for hospital services. Documents the verification on the patient's account. Accurately calculates co-pay or percentage due by patient at the point of service. Posting of CPT charges incurred with ICD-9 Coding with posting patient payments. Balance payments at the end of shift. Advises patient of hospital/urgent care payment policy and collects deductible, co-payment amounts and/or pre-service deposits. Refers patients appropriately to financial counseling. Obtains required signatures on forms for consent to treatments, assignment of benefits, release of information, applications for indigent care and other mandated forms. Complies with Medicare procedures regarding the screening of patients for Medicare secondary-payors by asking and documenting patient response to questionnaires and surveys. Promotes a positive image to physicians, patients and their families through prompt, courteous reception and processing of all patients. Pleasant greeting of patients upon entering the center. Answering all incoming phone calls. Taking phone messages and filing of medical records. Accurate and timely scanning of medical records into CCIRH HPF system. Assembling of patients' charts for clinical staff. Registering out-patient testing, such as labs, x-rays and Coumadin clinic patients. Maintains confidentiality of all scheduling, registration and admission information. Refers accounts to case management to obtain prior to admission or treatment for inpatients. Refers appropriate patients for screening for application to the Medicaid or indigent care programs. Attends in-services and is compliant with essential education without prompting from manager. Performs other duties as assigned. **CORE COMPETENCIES:** Ability to multi-task and prioritize work load. Effective written and oral communication skills. Delivers excellent customer service. Able to demonstrate flexibility and adapt to change. Able to maintain confidentiality of patient information. Must be well versed with medical terminology and phone etiquette. Previous experience providing customer or patient relations services. Knowledge of third-party payors and reimbursement methodologies. Knowledge of and previous experience with hospital and medical information systems. Healthcare credit and collections experience, including the rules and regulations governing payment, knowledge of governmental signatory and confidentiality guidelines. Ability to type and knowledge of personal computer applications: Microsoft Windows and products such as Word, Excel, Power Point and Access preferred. **MINIMUM REQUIREMENTS:** High School Diploma or equivalent required; college level course work or degree preferred. Medical terminology, insurance terminology, knowledge of third-party reimbursement including Medicare, Medicaid and managed care for hospital services is preferred. Previous patient access experience in a hospital or equivalent healthcare organization or setting for one to three (1-3) years. One to three (1-3) years' experience with ICD-9 diagnosis codes and CPT procedural coding at in-patient or out-patient facility preferred. **CCIRH IS A DRUG AND NICOTINE FREE WORKPLACE** The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic's Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility. Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities </script>

You may be interested in these similar jobs!
Senior DevOps Engineer
Find.jobs in Cleveland, OH

We are looking for a Senior DevOps Engineer who has a passion for designing and implementing efficient automated infrastructure and services with dem…

Read More
Cardiology Physician in Ohio (Cleveland)
Weatherby Healthcare in Cleveland, OH

Cardiology physician job in Ohio : Weatherby Healthcare is currently seeking a Cardiology Physician in OH A cardiology physician is needed to provide…

Read More
Cardiac Electrophysiology
Summa Health System in Akron, OH

Cardiac Electrophysiologist Summa Health Akron, OhioSumma Health is seeking board certified/board eligible Electrophysiologist to join a team of four…

Read More
pre-access Rep II
Southwest General Health Center in Cleveland, OH

POSITION INFORMATION Position summary: The Pre Access Rep 2 position provides exceptional customer service to customers by making outbound and answer…

Read More
Np iii cardiology consult
Cleveland Clinic in Cleveland, OH

The Department of Cardiovascular Medicine has an opening for as a Cardiology Consult Nurse Practitioner. This is an inpatient position in the Associa…

Read More
Permanent Pediatrics Physician in Ohio (Willoughby)
Reap Healthcare Agents in Willoughby, OH

Pediatrics physician job in Ohio : Pediatician An exciting opportunity for you to join our growing 60+ employed provider multi-specialty group at Ash…

Read More
Permanent Cardiology Interventional Physician in Cleveland, Ohio
CardioSolution in Lakewood, OH

Cardiology Interventional physician job in Ohio : With 22 client sites nationwide, a network of 50+ physicians, and more than 1,100 PCIs performed in…

Read More
Permanent Internal Medicine Physician in Ohio
Dedicated Senior Medical Center in Cleveland, OH

Internal Medicine physician job in Ohio : We are expending to Cleveland, OH!!! Were Dedicated Senior Medical Center, and were searching for the natio…

Read More
Permanent Geriatrics Physician in Ohio
Dedicated Senior Medical Center in Cleveland, OH

Geriatrics physician job in Ohio : We are expending to Cleveland, OH!!! Were Dedicated Senior Medical Center, and were searching for the nations top …

Read More
Permanent Family Practice Physician in Ohio
Dedicated Senior Medical Center in Cleveland, OH

Family Practice physician job in Ohio : We are expending to Cleveland, OH!!! Were Dedicated Senior Medical Center, and were searching for the nations…

Read More
Section Chief/PhysicianCardiology
University Hospitals in Cleveland, OH

Description Description Section Chief/Physician-University Hospitals Cleveland Medical Center Position Location : Cleveland, Ohio Position T…

Read More