Patient Access Services Representative (NY HELPS) - RPT - Evening Shift

ECMC; Buffalo (NY); On-site; USD 32,000 - 39,000; Part time

Job summary

ECMCC in Buffalo, NY is seeking a Part-Time Patient Access Services Representative (Evening Shift) as part of the NY HELPS program. You will pre-register and register patients, schedule appointments, verify benefits and collect co-pays using hospital information systems.

Ideal candidates have college credits or an associate degree, strong customer service and communication skills, familiarity with health insurance processes, and the ability to work in a busy hospital setting while maintaining

Qualifications

• Must have completed 60 college credits or an associate degree.
• Experience with patient registration and scheduling in healthcare.
• Knowledge of health insurance verification and eligibility basics.

Responsibilities

• Pre-registers and registers patients across multiple locations using hospital systems.
• Schedules patient appointments and collects payer information.
• Obtains and verifies insurance information for billing and preauthorization.
• Calculates and collects co-pays and issues receipts.
• Verifies third party payers and resolves billing issues.
• Responds to patient inquiries regarding scheduling and payments.

Skills

Patient registration

Medical terminology

Verbal communication

Data entry

Education

60 college credits or Associate’s Degree

Associate’s Degree

Medical Assistant certificate

Tools

Electronic Health Records (EHR)

Job description

Patient Access Services Representative (NY HELPS) - RPT - Evening Shift

Job Category: Revenue Cycle/Accounting/Finance

Requisition Number: PATIE005156

Contract Type

• Part-Time

Locations

Showing 1 location

Patient Access ER Reg
Buffalo, NY 14215, USA

Description

HOURLY RANGE: $22.90 - $28.36

NY HELPS:

This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).
For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means NO EXAMINATION IS REQUIRED, but all candidates must meet the minimum qualifications of the title for which they apply.
At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, WITHOUT HAVING TO TAKE A CIVIL SERVICE TEST.
Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State.
While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.

DISTINGUISHING FEATURES OF THE CLASS: The work involves performing a variety of clerical functions related to the registration of patients for clinical, surgical, inpatient and ancillary departments at the Erie County Medical Center Corporation (ECMCC). The incumbent performs tasks such as obtaining and reviewing patient information, scheduling patient appointments, verifying benefits eligibility, calculating and receiving patient co-pay, and inputting information into computer information systems. The work is performed under the direct supervision of a higher-level Revenue Cycle or Ambulatory Services employee. Supervision is not a function of this position. Does related work as required.

TYPICAL WORK ACTIVITIES

• Pre-registers and/or registers patients for various locations throughout ECMCC such as Emergency Room, clinics, inpatient, surgical and ancillary services using computer information systems;
• Schedules patient appointments, gathers demographic information including payer information and inputs into computer information systems;
• Obtains insurance information required for hospital billing, including completion of the Medicare Secondary Payer Questionnaire; performs work related to patient health insurance eligibility such as obtaining and verifying preauthorization approval for procedures, receiving authorization errors and making corrections to errors; inputs information into the electronic computerized system;
• Verifies third party payers using telephone or online verification systems;
• Determines insurance co-payments due from patient at time of service; collects required amounts at time of pre-registration and/or registration and issues receipts;
• Identifies and interview patients without insurance to assess qualifications for government entitlement programs or uncompensated charity care programs in accordance with hospital policy;
• Obtains signatures on various forms;
• Provides feedback to appropriate person of missing/incorrect information so it can be obtained at the point of service;
• Provides patients with information and responds to inquiries regarding appointment scheduling, registration, payment, repayment services, etc.;
• Identifies related issues and works with other departments and outside entities to resolve;
• Refers patients to staff responsible for developing contractual payment plans;
• Operates bed board system assigning beds appropriate to cohort specifications, hospital transfers, direct admissions and various bed board functions;
• Complies with applicable federal and state regulatory agency guidelines, including Health Information Portability and Accountability Act of 1996 (HIPAA) privacy standards, established departmental policies and procedures, objectives, quality assurance, safety, environmental, infection control standards, etc.;
• Performs a variety of related clerical duties as required.

FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Good knowledge of the principles and practices of patient registration, patient scheduling, health insurance eligibility and health insurance verification and eligibility in a hospital setting; good knowledge of applicable laws, rules, regulations and accreditation standards as they relate to patient registration, patient scheduling, health insurance eligibility and health insurance verification and eligibility in a hospital setting; good knowledge of third party payers and the respective guidelines associated with respective payers; working knowledge of medical terminology; strong customer service skills; good interviewing skills; ability to use an alpha-numeric keyboard; ability to apply basic mathematical functions; ability to communicate effectively, both orally and in writing; ability to establish and maintain effective working relationships with a diverse constituency; ability to utilize a variety of electronic software applications; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.

MINIMUM QUALIFICATIONS

• A.) Possession of a minimum of sixty (60) college credit hours* or an Associate’s Degree*; or:
• B.) Graduation from high school or possession of a high school equivalency diploma and one (1) year of clerical experience* in: patient admissions, patient registration, patient appointment scheduling, health insurance verification, health insurance eligibility or health insurance processing in a healthcare setting or third party payer setting.; or:
• C.) Graduation from high school or possession of a high school equivalency diploma and possession of a Medical Assistant, Medical Administrative Assistant or Certified Medical Office Assistant certificate.

NOTE*: Your degree or college credit hours must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at http://www.cs.ny.gov/jobseeker/degrees.cfm. You must pay the required evaluation fee.

NOTE 2: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting the full-time experience requirements.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.