PA ASSOC II
: Job Details :

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: 1.000000Shift: DaysLocation: WATSEKASummary: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 equivalent
• EKG tracings preferred
• Computer literate
• Medical terminology preferrred
• Office or other clerical experience preferred
• Ability to read and write in English. Verbal skills required to interact on the telehpone or in person in a courteous and respectful manner
• Ability to do general arithmetic
• Prior knowledge of payer regulatory compliance and HIPAA Privacy and Security requirements
• Detail oriented, committed to accuracy, ability to problem solve
• Understanding of the hospital revenue cycle

License or Certification Requirements:

• None

Responsibilities:

• Sorts and distributes mail and faxes. Keeps patient and family informed of process and any delays.
• Accurately collects and analyzes all required demographic, insurance/financial, and clinical data necessary to schedule, pre-register, and register patients from all payer classes interacts with patients, their representatives, physicians, physician office staff, employers, and others, and reviews new and previously recorded information, electronically records information on a timely basis, follows EMTALA, HIPAA, payer and other applicable regulations and standards for registration.
• Accurately prepares required forms, documents, and reports, including labels, medical record forms, and other documents.
• Produces and distributes these on a timely basis to both internal and external parties.
• Completes orders as designed by test request for physician orders.
• Analyzes and records data and processes transaction to ensure that an accurate historical patient data base is maintained for each registration encounter.
• Analyzes available documentation and uses hospital resources to calculate the amount expected from the payer and the amount owed by the payer and the amount owed by the patient or responsible party.
• Provides the information to patients to ensure they understand the policies that govern the revenue cycle and the processes that will be followed.
• Appropriately explains, secures, and witnesses all signatures required to provide medical treatment, assignment of benefits release of information, establish financial responsibility and to assist in meeting other internal, regulatory and payer requirements.
• Completes the MSP questionnaire when applicable.
• Assist in training of new personnel and other health care staff.
• Confirm special requirements for specimen acceptability before and or after delivery of specimen.
• Collect and deliver specimens to appropriate department with the defined time limits requiring.
• Verify identification and labeling of all specimens received. Complete registrations for specimen drop-offs
• Determines from callers appropriateness of services to be provided in department and other locations to ensure proper information is provided to patient or their representative prior to arrival.
• Provides preps and instructions to patients to ensure necessary steps are taken prior to tests/procedures.
• Ensure area and procedures performed are within compliance with regulatory agencies.
• Explains hospital credit and collection policies and payment options to the patient or responsible party, and negotiates acceptable resolution of expected self-pay balance.
• Refers self-pays to financial counselor or cashier.
• In absence of cashier, collects payments.
• Identifies self to all patients or their representatives during direct or phone interactions and provides greeting to help customer determine appropriate location and process to occur.
• Maintain patient flow-ambulatory care, pre-op testing and clinics.
• Meets any departmental competency requirements; Lotus Notes, P & P, and Disaster Competency.
• Attends all advanced registration classes and mandatory department meetings.
• Prepare and deliver charts to Medical Records; facesheet order and consent for treatment for patients treated in the Outpatient Center.
• Receives, properly responds to, or redirect telephone, electronic and in-person inquiries from patients, their representatives, payers physicians and their staff, UR, internal departments, and other persons.
• Maintains confidentiality of personal health information working within the minimum necessary guidelines.
• Reviews and analyzes records of active patients to identify and resolve situations where care is different than originally identified, including reverification of payer information, reverification of medical necessity, revising and informs all affected parties.
• Reviews physician orders and other documentation against payer coverage and medical necessity criteria, uses screening software to determine whether services being provided meet third-party requirements for payment, contacts physicians as necessary for additional clinical information; informs physicians about payer requirements, initiates to Medicare ABN process as appropriate and explains payer policies to patients.
• Documents in notes all financial expectations of payer or patient and medical necessity verification.

Education:Essential:* HIGH SCHOOL DIPLOMARiverside 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 RequirementsExposure to:. Chemicals: Germicidal cleaners, toner for copier machines/printers. Preservatives for 24 hour urine/stool collection, x-ray developer and fixer solutionsVideo Display Terminals: AverageBlood 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 RequirementsAverage Hours per Week: 40Shift: Days and eveningsPercentage of time during the normal workday the employee is required to: Sit: 28%Twist: 5%Stand: 23%Crawl: 0%Walk: 10%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: FrequentlyUp to 20 lbs: FrequentlyUp to 35 lbs: OccasionallyUp to 50 lbs: Not RequiredUp to 75 lbs: Not RequiredUp to 100 lbs: Not RequiredOver 100 lbs: Not RequiredDescribe 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: 60Twist: 4Stand: 10Crawl: 0Walk: 30Kneel: 0Lift: 5Drive: 0Squat: 2Climb: 0Bend: 1Reach above shoulders: 5Repetitive 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 HazardsEnvironmental Factors (Time Spent):Inside hours: 8Outside hours : 0Temperature: Normal RangeLighting: AverageNoise levels: AverageHumidity: Normal RangeAtmosphere:Special Hazards: Exposure to powder in latex gloves.Protective Clothing Required: Lab coat, gloves, protective eye wear, mask (occasionally)