Outpatient Services Rep LEP

RIH Rhode Island Hospital; Rhode Island; On-site; USD 31,000 - 32,000; Full time

Job summary

Brown University Health is seeking an organized outpatient registrar to schedule appointments, register patients, and manage related records and billing at Rhode Island Hospital. You will assist patients with limited English proficiency using your second language to explain clinic procedures and help complete registrations.

The role involves pre-registration, collecting co-pays, and coordinating with billing and interpreter services to ensure accurate records and smooth patient visits.

Qualifications

• High school diploma or equivalent; effective communication in English and at least one non-English language.

Responsibilities

• Schedule outpatient clinic appointments using the hospital's online scheduling system.
• Register and pre-register patients; collect co-pays and provide receipts.
• Provide LEP assistance using your second language to explain procedures.
• Obtain pre-authorizations and referrals as needed.
• Maintain and organize patient records and billing information.
• Respond to patient inquiries and coordinate with billing and clinical staff.

Skills

Non-English language fluency

Customer service

Cultural sensitivity

Oral and written communication

Education

High school diploma

Job description

SUMMARY

Under general supervision and according to established policies and procedures, schedules outpatient clinic appointments; receives, interviews and registers patients and prepares related paper and electronic records. As needed, provides customer assistance to patients with limited-English proficiency (LEP) through use of second language skills (non-English) to explain basic information regarding clinic policies and procedures, billing procedures and to assist in completing registration and related forms. Recognizes need for more specialized interpretation required of patient and family and requests same through from the Hospital’s internal and external interpreter services. Performs duties associated with preparation of patient records; registration and pre-registration activities; problem resolution; appointment scheduling; and, co-payment preparation and collection. In addition, ancillary duties performed provide tracking and status of follow-up care as it pertains to specific diagnostic coding, billing/payment resolution, and generation of system reports, which reflect scheduling activities. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate

RESPONSIBILITIES

Schedules outpatient clinic appointments for patients through the use of the hospital's electronic scheduling system. This includes establishing the appointment type, specific, provider clinic, and appointment time. Schedules follow-up appointment using the on-line scheduling system.Mails informational material to new patients in advance of scheduled appointments. As necessary, contacts agencies outside the Hospital to obtain pertinent patient information and to coordinate clinic/treatment programs. Contacts third party payors to obtain required pre-authorizations in accordance with established policiesMay schedule appointments for patients who need lab work, diagnostic imaging or referral to other medical providers. Refers technical/clinical inquiries to appropriate personnel. Utilizes the on-line billing system to enter diagnosis/service codes from encounter sheets. This includes accurately entering the appropriate code in the hospital's billing system.Obtains and organizes medical records for use by physicians and nurses. Ensures patient's file is complete prior to treatment/clinic visit including appropriate records, lab test results and x-rays. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing dataActs as an outpatient center receptionist. Makes telephone calls to patients as appointment reminders. Answers incoming calls. Returns phone calls to patients, physician offices and other medical providers such as laboratory and radiology facilities. Greets arriving patients and verifies pertinent information and physician using the online billing system. Orients patients to the specific outpatient center as a hospital-based service. Interacts effectively with patients and their family members to provide mature, quality customer service.Uses non-English language skills and oral communications to provide high level of culturally appropriate customer service to those patients and families who have limited English proficiency, explaining clinic procedures, obtaining demographic and financial information in order to complete registration and related forms and records.Is familiar with the role of the interpreter in providing more specialized medical-related translation and interpretation skills, calling upon those services as appropriate in order to address more complex needs of the patient and family members. Contacts the Hospital’s interpreter services and/or the automated language assistance line to request additional support as necessary.Completes pre-registration and registration process using the on-line billing system. Verifies demographic data, insurance authorization information, co-pays and physician. Collects co-payments and provides patients with receipts. Produces registration cards using the on-line system and card embosser. Photocopies front and back of insurance card. Confirms patient eligibility with insurance carriers and obtains visit authorizationsEnsures all coding and billing duties are performed in accordance with department policies and procedures. Using the on-line billing system, enters diagnosis codes/service codes as indicated on encounter sheets. Verifies the appropriateness of the diagnostic code prior to entering in the billing system, recognizing errors or omissions and follows up with appropriate clinic personnel to resolve. Interacts with patients and representatives in patient financial services in order to resolve billing issues, including denials. Appropriately refers patients to patient advocate for financial counseling.Prepares and maintains related reports using both the online scheduling and billing systemsMay respond to telephone callsnquiries by rotating into a centralized setting (i.e., a call room).Performs all duties in accordance with the Hospital’s mission, the defined role of ambulatory care and defined administrative/clerical rules, procedures and policies.

MINIMUM QUALIFICATIONS

BASIC KNOWLEDGE: High School Diploma or equivalent. Effective oral and written communication skills, including specific, non-English fluency as spoken by clinic clientele and/or population serviced.EXPERIENCEix to twelve months related clerical experience, preferably in a high-volume clinic setting, with demonstrated familiarity with on-line computer data entryccess procedures, medical terminology and clinic billing processes.Experience should demonstrate high level of customer service, cultural sensitivity and effective oral and written communications skills in English and a specified second language.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

Walking, sitting, standing throughout the day in clinic setting.

SUPERVISORY RESPONSIBILITY

None.

Pay Range: $22.35-$23.37

Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type: M-F 8:00am -4:30pm

Work Shift: Day

Driving Required: No

Union: International Brotherhood Teamsters

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.

Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself.

Company Location Belonging and Engagement Nursing Our Mission