hawaii health systemsKealakekua, HI
PATIENT ACCESS REP II Kona Health Center
$46,800 per year
Apply (opens in a new tab)PATIENT ACCESS REP II Kona Health Center
PATIENT ACCESS REP II Kona Health Center
hawaii health systemsKealakekua, HI
today
$46,800 per year
General Medical and Surgical HospitalsAll Other Miscellaneous Ambulatory Health Care ServicesSpecialty Hospitals
Apply for this role (opens in a new tab)HI:Big Island: Kealakekua: KONA COMMUNITY HOSPITAL | Clerical, Administrative and Support | Temporary/Full-time46,800 - 46,800 USD per year Posted a week ago DescriptionLOCATION :KONA HEALTH CENTERPOSITION STATUS : 1.00 | TemporarySALARY RANGE :BU00SALARY RATE: $46,800.00 (Annual Salary) based on the Full-Time EmploymentJOB DUTIES :INSURANCE VERIFICATION1. Reviews patient demographic information collected through the preadmission, admission, or registration process for accuracy.2. Contacts insurance carriers to obtain benefits and eligibility for the specific insurance plans.3. Utilizes electronic media for validating insurance plan codes, certificate numbers and expirations of coverage.4. Validates the certificate numbers for each insurer/subscriber.5. Enters the subscriber verification information in the IBAX hospital patient data base system.6. Updates patient record with specific changes required prior to bill production.7. Conducts precertification when necessary in order to ensure coverage for services.8. Refers continued stay certification to the Utilization Review Coordinator when information is needed beyond what the Patient Access Department can provide.9. Addresses error resolution with the appropriate Patient Access staff for improved future results. PREADMISSION/ADMISSION OF PATIENTS:1. Interviews patients or their representatives and obtains demographic and primary and secondary insurance information.2. Researches and update previous records within the information system OR enters information to create a new file.3. Notifies appropriate hospital personnel of new registrations so that admitting orders can be obtained.4. Explains hospital policies regarding room accommodations and visitors.5. Discuss and determine method of payment with the patient and/or responsible party, collects deposits, and acquires signatures on all pertinent forms.6. Initiates and accurately completes all necessary admitting forms recognizing that these documents constitute a medicolegal document.7. Prepares an addressograph plate showing pertinent patient information by utilizing an electric plastic plate embosser.8. Prepares a patient wristband and attaches the wristband to the patient.9. Assigns the patient a bed taking into consideration the needs of the patient, special orders written by the admitting physician, and unit availability.10. Directs the patient to the assigned nursing unit and forwards all pertinent documents with the patient or escorts patients in need of assistance.11. Inputs additional information into the system as directed.12. Complies with rules, regulations, rights and statutes of State, Federal, hospital and hospital regulatory agencies.13. Calculate, obtain and process advance cash and credit deposits.14. Works closely with billing department to resolve all billing/collections issues. SWITCHBOARD COVERAGE/CENTRAL COMMUNICATIONS1. Answers and refers incoming calls to the proper department of person.2. Maintains a record of all toll calls and places emergency calls for the medical staff or nursing. Main information clerk for entire hospital and/or receptionist for Patient Access.3. Makes special announcements over the PA system/Radio and pages the medical staff and hospital personnel as needed.4. Announces fires, disasters, or drills to all hospital personnel over the PA system.5. Refers to disaster procedures and promptly notifies key hospital personnel of an anticipated/actual disaster.6. Participates in County Civil Defense exercises and dry-runs.7. Refers employee sick calls to the respective department head.8. Assists in the notification of on-call personnel.9. Maintains a daily sign in/out sheet of on call personnel that are on property.10. Monitors emergency systems (fire, nitrogen, oxygen, lifeline) and serves as communications control.
OTHER UNIT RESPONSIBILITIES:
1. Distributes the pre census and census daily for update by nursing personnel.2. Updates the hospital patient data base system to reflect transfers, bed swaps, and discharges at the direction of the nursing units.3. Computes and maintains admitting and census statistics as required for various agencies such as the Department of Human Services and Medicare and for hospital administration on a monthly basis.4. Distributes copies of admission summaries to departments and physicians5. Assists in the training of new employees on all functions6. Administers, monitors and audits hospital key control system. Maintains key safe.7. Process and distribute incoming/outgoing mail. Receives courier deliveries when Storeroom is closed. Receives all returned patient statements, obtains correct mailing address and forwards statement to patient.8. Communicates and interacts with patients, families and other staff members in a positive and courteous manner.9. Compliance with mandatory in-service requirements, e.g., patient rights, crisis prevention, annual mandatory health and safety, etc.10. Maintains the strictest confidentiality of all facility and facility related employee/ patient information.11. Participates in activities of department, i.e. The Joint Commission, Safety, Performance Improvement, and Infection Control.12. Adheres to hospital rules and regulations, and policies and procedures.13. Plans and organizes workload and is aware and flexible to acute needs of the section.14. Considers age-specific needs when serving or assisting patients:___ Infants (0-2 years) ___ Adults (19-70 years)___ Pediatrics (3-12 years) ___ Older Adults (greater than 70)___ Adolescents (12-18 years)15. Uses knowledge of different cultures when interacting and assisting patients. Performs other related duties as assigned.
LOCATION:
KONA HEALTH CENTERPOSITION STATUS : 1.00 | TemporarySALARY RANGE :BU00SALARY RATE: $46,800.00 (Annual Salary) based on the Full-Time EmploymentJOB DUTIES :INSURANCE VERIFICATION1. Reviews patient demographic information collected through the preadmission, admission, or registration process for accuracy.2. Contacts insurance carriers to obtain benefits and eligibility for the specific insurance plans.3. Utilizes electronic media for validating insurance plan codes, certificate numbers and expirations of coverage.4. Validates the certificate numbers for each insurer/subscriber.5. Enters the subscriber verification information in the IBAX hospital patient data base system.6. Updates patient record with specific changes required prior to bill production.7. Conducts precertification when necessary in order to ensure coverage for services.8. Refers continued stay certification to the Utilization Review Coordinator when information is needed beyond what the Patient Access Department can provide.9. Addresses error resolution with the appropriate Patient Access staff for improved future results. PREADMISSION/ADMISSION OF PATIENTS:1. Interviews patients or their representatives and obtains demographic and primary and secondary insurance information.2. Researches and update previous records within the information system OR enters information to create a new file.3. Notifies appropriate hospital personnel of new registrations so that admitting orders can be obtained.4. Explains hospital policies regarding room accommodations and visitors.5. Discuss and determine method of payment with the patient and/or responsible party, collects deposits, and acquires signatures on all pertinent forms.6. Initiates and accurately completes all necessary admitting forms recognizing that these documents constitute a medicolegal document.7. Prepares an addressograph plate showing pertinent patient information by utilizing an electric plastic plate embosser.8. Prepares a patient wristband and attaches the wristband to the patient.9. Assigns the patient a bed taking into consideration the needs of the patient, special orders written by the admitting physician, and unit availability.10. Directs the patient to the assigned nursing unit and forwards all pertinent documents with the patient or escorts patients in need of assistance.11. Inputs additional information into the system as directed.12. Complies with rules, regulations, rights and statutes of State, Federal, hospital and hospital regulatory agencies.13. Calculate, obtain and process advance cash and credit deposits.14. Works closely with billing department to resolve all billing/collections issues. SWITCHBOARD COVERAGE/CENTRAL COMMUNICATIONS1. Answers and refers incoming calls to the proper department of person.2. Maintains a record of all toll calls and places emergency calls for the medical staff or nursing. Main information clerk for entire hospital and/or receptionist for Patient Access.3. Makes special announcements over the PA system/Radio and pages the medical staff and hospital personnel as needed.4. Announces fires, disasters, or drills to all hospital personnel over the PA system.5. Refers to disaster procedures and promptly notifies key hospital personnel of an anticipated/actual disaster.6. Participates in County Civil Defense exercises and dry-runs.7. Refers employee sick calls to the respective department head.8. Assists in the notification of on-call personnel.9. Maintains a daily sign in/out sheet of on call personnel that are on property.10. Monitors emergency systems (fire, nitrogen, oxygen, lifeline) and serves as communications control.
OTHER UNIT RESPONSIBILITIES:
1. Distributes the pre census and census daily for update by nursing personnel.2. Updates the hospital patient data base system to reflect transfers, bed swaps, and discharges at the direction of the nursing units.3. Computes and maintains admitting and census statistics as required for various agencies such as the Department of Human Services and Medicare and for hospital administration on a monthly basis.4. Distributes copies of admission summaries to departments and physicians5. Assists in the training of new employees on all functions6. Administers, monitors and audits hospital key control system. Maintains key safe.7. Process and distribute incoming/outgoing mail. Receives courier deliveries when Storeroom is closed. Receives all returned patient statements, obtains correct mailing address and forwards statement to patient.8. Communicates and interacts with patients, families and other staff members in a positive and courteous manner.9. Compliance with mandatory in-service requirements, e.g., patient rights, crisis prevention, annual mandatory health and safety, etc.10. Maintains the strictest confidentiality of all facility and facility related employee/ patient information.11. Participates in activities of department, i.e. The Joint Commission, Safety, Performance Improvement, and Infection Control.12. Adheres to hospital rules and regulations, and policies and procedures.13. Plans and organizes workload and is aware and flexible to acute needs of the section.14. Considers age-specific needs when serving or assisting patients:___ Infants (0-2 years) ___ Adults (19-70 years)___ Pediatrics (3-12 years) ___ Older Adults (greater than 70)___ Adolescents (12-18 years)15. Uses knowledge of different cultures when interacting and assisting patients. Performs other related duties as assigned.
THE MINIMUM QUALIFICATION REQUIREMENTS ARE:
Applicants must meet all of the following requirements. Please note that unless specifically indicated; the required education and experiences may not be gained concurrently. In addition, qualifying work experiences are based on a 40-hour work week. EDUCATION REQUIREMENT:High school diploma or equivalent. GENERAL EXPERIENCE:Two (2) years of typing, stenographic, clerical work, cashiering, data input, customer service skills or any combination of these experiences which duties demonstrated knowledge of English grammar, spelling, arithmetic, standard office equipment; and the ability to read and understand oral and written instructions, carry out procedures in clerical work systems, speak and write simply and directly, observe differences in copy and proofread words and numbers quickly and accurately, and operate various kinds of office equipment; and ability to deal effectively with others in eliciting information and providing service. SUBSTITUTION OF EDUCATION FOR GENERAL EXPERIENCE:An Associate's or Bachelor's from an accredited college or university may substitute for all of the General Experience required. SPECIALIZED EXPERIENCE:One (1) year of work experience performing admission activities in a hospital; interviewing patients and/or responsible persons to secure information, securing signatures for insurance benefits; arranging for method of payment for costs not covered by insurance; and preparing admitting records. QUALITY OF EXPERIENCE:The number of years of experience required for any grade level represents the minimum amount of time necessary to qualify for the appropriate position, but length of time is not in itself qualifying. The applicant's work experience must also have been of a quality and scope sufficient to enable them to perform satisfactorily assignments typical of the grade level for which they are being considered. KNOWLEDGE AND ABILITIES REQUIRED:KNOWLEDGE OF: Office practices and procedures; grammar, spelling, punctuation and work usage; use of standard office machines; techniques of interviewing others to obtain pertinent information. Patient accounting operations, registration and standard intake techniques. Third party payor requirements, credit and collection practices. Federal regulations including COBRA, Advance Directives, Medicare, Medicaid, JCAHO, OSHA and HIPAA as they relate to hospital intake and payment for services. Customer service philosophies and practices.
ABILITY TO:
Make arithmetic computations; compare names and numbers rapidly and accurately; type at the rate of 40
Also on the board Same function, level within a rung
Level
Mid
Salary
$46,800 per year
Location
Kealakekua, HI
Occupation
Patient Representatives
Industry
General Medical and Surgical Hospitals
Posted
today