KANKAKEE, IL, US
39 days ago
PA ASSOC II - CARE COORDINATION
We Are Hiring!

At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you’re part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us!


FTE: 0.300000

Shift: Nights [Every other weekend: Friday, Saturday, Sunday 11:00pm to 7:30am; Rotating Holidays]

Location: RIVERSIDE MEDICAL CENTER

 

Summary:

The Patient Access Associate II must be competent in the following: registering, insurance/Medicare/Medicaid compliance and strong customer service skills, and processing drop-off specimens. The Patient Access Associate II must have the ability to work independently in a fast-paced environment. The Patient Access Associate II must project a mature, compassionate, concierge-style customer attitude and professional demeanor. Interacting in a customer-focused and compassionate manner to ensure patients and their representatives needs are met, and that they understand the hospital's revenue cycle expectations, including resolution through various payment options. The Patient Access Associate II will accurately collect, analyze and record demographic, insurance/financial and clinical data from multiple sources, and obtains other information and signatures necessary for registration and billing. Effectively screens for compliance with payer requirements for medical necessity and precertification and completes third-party eligibility and benefit verification to ensure accurate payment is secured.

 

Experience/Education Requirements:

High school diploma or its equivalentEKG tracings preferredComputer literateMedical terminology preferrredOffice or other clerical experience preferredAbility to read and write in English. Verbal skills required to interact on the telehpone or in person in a courteous and respectful mannerAbility to do general arithmeticPrior knowledge of payer regulatory compliance and HIPAA Privacy and Security requirementsDetail oriented, committed to accuracy, ability to problem solveUnderstanding of the hospital revenue cycle

License or Certification Requirements:

None

 

 

Responsibilities:

Attends all mandatory department meetings, applicable classes, and OLIE courses.Ensures the highest level of customer satisfaction is provided by self and department.Greets patients using appropriate scripting and in a friendly inviting manner.Directs or escorts patients to the appropriate location.Interacts in person and on the telephone in a courteous and respectful manner.Identifies self to all internal and external customers during direct communication.Calls ED staff when visitors present at desk to inform them of a visitor for a patient and directs the visitor according to ED Staff's response.Quick admits patients accurately and timely.Uses the policy to accurately identify the patient and does not create duplicate medical record numbers.Enters primary care physicians name and any additional information needed accurately.Prints stickers and armbands patients.Work independently and as a team member.Works with triage so each patient is visually assessed before leaving the check in area.Monitors department supplies and assists in stocking work areas.Keeps work area clean and orderly.Monitors fax/copy machine and reports any issues.Appropriately dispositions patients presenting to appropriate locations (i.e. Outpatient Center, Labor and Delivery).Assists in training of new employees.Appropriately accesses patients presenting that may have special needs (i.e. Wheelchair, emesis basin, or immediate attention).Acts as a team member assisting with finding or providing coverage for call-offs to ensure department has proper coverage and follows the specific Coordination Center policy for vacations, call-offs and coverage procedures.Monitors waiting room and is aware of all patients/visitors making sure they are informed, especially regarding processes and wait times.Assist with transportation of patients within the hospital.Accurately collects and analyzes all required demographic, insurance/financial, and clinical data necessary yo register patients from all payer classes.Verifies and updates all new and previously recorded information.Electronically records information on a timely basis and before patient is discharged.Follows EMTALA, HIPAA, Payer and other applicable regulations and registration standards.Accurately collects and scans required documents for registration, including labels, and ID bands.Appropriately explains, secures, and witnesses all signatures required to provide medical treatment, and release of information for both electronic, written and verbal consents per policy.Recognizes OON insurances and can appropriately explain and secure all required signatures when applicable.Reviews and completes MSP Questionnaire when applicable.Understands how to read Real Time Eligibility(RTE) responses and select/ term out insurances appropriately.Understands workflow for drop off specimens when received after hours.Understands workflow for OP being seen in the Emergency Department.Understands, initiates and can communicate the Important Message for Medicare workflow and can appropriately explain payer policies to the patient when obtaining signature.Understands Riverside Financial Policies and appropriately guide patients to see the financial counselor and when to provide the Financial Assistance brochure for financial hardship.Provides estimates to all patients per policy and consistently uses PATOS scripting.Achieves or excels individual financial goals.Enters and Verify’ s transfer/admission to IP/Specialty units accurately.Selects admission types accurately.Operates switchboard and handles incoming calls in a compassionate customer focused manner.Identifies and refers callers to appropriate resource.Consistently uses scripting “Thank you for calling Riverside, This is ….., how may I help you?”Handles all codes per policy and procedure to ensure timely response. Uses notification system accurately and timely.Updates Physician on call software during shift to ensure the City Call Schedule is accurate.Coordinates bed placement with clinical or other staff when AURS is not present.Achieves or exceeds quality expectations measured by personal registration dashboards.Reviews assigned patient work queues to make sure they are within the 24-48 hour goal.Understands the Admission Desk workflows.

 

 

Education:
Essential:
* HIGH SCHOOL DIPLOMA

 

Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.

Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.

 

Other information:

Exposure/Sensory Requirements

 

Exposure to:.
Chemicals: Germicidal cleaners, toner for copier machines/printers. Preservatives for 24 hour urine/stool collection, x-ray developer and fixer solutions
Video Display Terminals: Average
Blood and Body Fluids: Responsible for phlebotomy-the risk from exposure to blood and body fluids through obtaining specimens and patient contact. Risk is minimized through the use of universal precautions.
TB or Airborne Pathogens: Potential exposure of airborne pathogens from direct patient contact. The risk is minimized through the use of universal precautions.

Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Required for communication with customers.
Vision: Needed to see clearly and read physician orders.
Smell: Helpful to note presence of electrical/fire safety.
Hearing: Needed to comprehend patients and physicians when obtaining information and for patient education to answer questions and confirm understanding of instructions.
Touch: Required for phlebotomy skills and computer input.

Activity/Lifting Requirements

 

Average Hours per Week: 40

Shift: Days and evenings

Percentage of time during the normal workday the employee is required to:
Sit: 20%
Twist: 10%
Stand: 80%
Crawl: 0%
Walk: 60%
Kneel: 0%
Lift: 10%
Drive: 0%
Squat: 2%
Climb: 0%
Bend: 20%
Reach above shoulders: 2%

The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Frequently
Up to 20 lbs: Frequently
Up to 35 lbs: Occasionally
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Required to lift infants/small children and some supply items. If a heavy object is being carried, a cart or wheelchair can be used to move it any distance. May need to assist a patient getting out of and back into their wheelchair.

Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 60
Twist: 4
Stand: 10
Crawl: 0
Walk: 30
Kneel: 0
Lift: 5
Drive: 0
Squat: 2
Climb: 0
Bend: 1
Reach above shoulders: 5

Repetitive use of hands (Frequency indicated):
Simple grasp up to 15 lbs.
Pushing & pulling Normal weight: 50-200#
Fine Manipulation: Phlebotomy, typing/keyboarding, opening and closing drawers.

Repetitive use of foot or feet in operating machine control:Foot pedals are used on sinks to provide a germ-free environment.

Environmental Factors & Special Hazards

 

 

Environmental Factors (Time Spent):
Inside hours: 8
Outside hours : 0

Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere:

Special Hazards: Exposure to powder in latex gloves.
Protective Clothing Required: Lab coat, gloves, protective eye wear, mask (occasionally)

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