Patient Access Rep - Surgery

Saint Joseph Mercy Health System; Pontiac (MI); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Coordinator to join their team. This role involves scheduling surgical and non-surgical procedures, ensuring optimal resource utilization while prioritizing patient needs and physician preferences. The ideal candidate will excel in customer service, possess strong communication skills, and have experience with medical terminology and scheduling systems. Join a dynamic environment where your contributions will enhance patient care and support a commitment to diversity and inclusion. This is a fantastic opportunity to grow your career in a supportive and professional setting.

Qualifications

• High school diploma required; courses in medical terminology preferred.
• Experience with scheduling and medical coding is preferred.

Responsibilities

• Schedule procedures independently and obtain accurate registration information.
• Collaborate with clinical personnel for scheduling conflicts and optimizations.
• Maintain excellent customer service and confidentiality of patient records.

Skills

Scheduling in Cerner Enterprise

Medical terminology

ICD-9-CM coding

ICD-10-CM coding

Customer service

Communication skills

Organizational skills

Education

High school diploma or GED

Courses in word processing or medical terminology

College classes in business or public relations

Tools

SurgiNet systems

Electronic health records

Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

Accountability Objectives:

Responsible for performing the Patient Access process, scheduling surgical and non-surgical procedures in SurgiNet. Coordinates multiple services in proper sequence, accommodating department's special needs for each service. Collaborates with multiple departments to optimize resource utilization while considering physician preferences and patient needs. Obtains accurate pre-registration, insurance information, and procedure codes for billing.

Displays courteous, professional behavior, proactively develops customer relationships, and prioritizes customer satisfaction.

Position Qualifications:

Minimum Education, Licensure / Certification and Experience Required:

Education: High school diploma, GED, or equivalent required. Courses in word processing or medical terminology preferred. College classes in business, public relations, or medical fields desirable.

Licensure / Certification: None

Experience: Experience with scheduling in Cerner Enterprise or SurgiNet systems. Accurate typing skills (40 wpm), experience with medical terminology, ICD-9-CM, ICD-10-CM coding, and knowledge of third-party payers preferred.

Special Skills / Aptitudes:

Ability to gather verbal information via telephone and enter data into a computer simultaneously. Good communication and interpersonal skills. Organized, able to problem-solve, work independently, and provide excellent customer service.

Duties / Responsibilities:

1. Schedule procedures independently, considering case complexity and coordinating with hospital departments.
2. Obtain registration demographics and insurance information via telephone or fax for accurate billing.
3. Retrieve procedure codes to ensure correct patient classification and revenue capture.
4. Identify and resolve scheduling conflicts related to time, resources, equipment, or staff.
5. Collaborate with clinical personnel for add-on or emergent procedures and resolve scheduling conflicts.
6. Coordinate hospital services in proper sequence, respecting managed care and clinical standards.
7. Inform surgeons or office schedulers of preparations for appointments.
8. Independently troubleshoot scheduling issues and system problems.
9. Work with the Perioperative Team to optimize scheduling efficiency.
10. Review departmental reports for scheduling issues and resolve them.
11. Maintain excellent customer service and communication skills.
12. Utilize departmental reference manuals and maintain confidentiality of patient records.
13. Participate in meetings, quality improvement, and perform other duties as assigned.
14. Uphold the mission and values of St. Joseph Mercy Oakland and adhere to applicable laws and policies.
15. Ensure accurate charge entry for patients and services, participate in revenue management education, and assist with equipment tracking and maintenance.
16. Proficiently use electronic health records for documentation and care management.

Dept/Unit Specific: Not Applicable

Working Conditions:

• Primarily sitting using a computer and phone (up to 90% of shift).
• Normal office environment with minimal exposure to hazards.
• Typically Monday through Friday; minimal overtime may be required.

Our Commitment to Diversity and Inclusion:

Trinity Health values diversity, equity, and inclusion, reflecting our mission and core values. We are an Equal Opportunity Employer, considering all qualified applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected status.