Patient Access Coordinator - Vascular Job Listing at Baton Rouge General in Baton Rouge, LA (Job ID 1996807501)

Description

JOB PURPOSE OR MISSION:   Provides a wide variety of administrative and staff support services.  Assists in the duties of department operations.  Oversees functions of other administrative staff and billing operations.  Performs duties for the age population served, as defined in the departments Plan of Care.

 

PERFORMANCE CRITERIA

 

CRITERIA A:   Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job.

 

PERFORMANCE STANDARDS:

• Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community.
• Takes initiative in living our Everyday Excellence values and vital signs.
• Takes initiative in identifying customer needs before the customer asks.
• Participates in teamwork willingly and with enthusiasm.
• Demonstrates respect for the dignity and privacy needs of customers through personal action and attention to the environment of care.
• Keeps customers informed, answers customer questions and anticipates information needs of customers.

      

 

CRITERIA B:   Corporate Compliance - Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines and the GHS Corporate Compliance Guidelines.

 

PERFORMANCE STANDARDS

• Practices diligence in fulfilling the regulatory and legal requirements of the position and department.
• Maintains accurate and reliable patient/organizational records.
• Maintains professional relationships with appropriate officials; communicates honesty and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.

             

 

CRITERIA C:  Personal Achievement - Employee demonstrates initiative in achieving work goals and meeting personal objectives.

 

PERFORMANCE STANDARDS

• Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high.
• Adheres to high moral principles of honesty, loyalty, sincerity, and fairness.
• Upholds the ethical standards of the organization.

 

      

 

 

CRITERIA D:  Performance Improvement - Employee actively participates in Performance Improvement activities and incorporates quality improvement standards in his/her job performance.

 

PERFORMANCE STANDARDS

• Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations.
• Initiates or redesigns to continuously improve work processes.
• Contributes ideas and suggestions to improve approaches to work processes.
• Willingly participates in organization and/or department quality initiatives.

 

      

CRITERIA E:  Cost Management - Employee demonstrates effective cost management practices.

 

PERFORMANCE STANDARDS

• Effectively manages time and resources
• Makes conscious effort to effectively utilize the resources of the organization — material, human, and financial.
• Consistently looks for and uses resource saving processes

 

      

CRITERIA F:  Patient & Employee Safety - Employee actively participates in and demonstrates effective patient and employee safety practices.

 

PERFORMANCE STANDARDS

• Employee effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety.
• Employee proactively reports errors, potential errors, injuries or potential injuries.
• Employee demonstrates departmental specific patient and employee safety standards at all times.
• Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.
• Consistently looks for and uses resource saving processes

            

      

JOB FUNCTIONS

 

ESSENTIAL JOB FUNCTIONS include, but are not limited to:

 

1.         Provides support to Physician(s) and staff to assure continuity of departmental operations.

 

PERFORMANCE STANDARDS:

• Consistently reviews and prioritizes all incoming mail and material.
• Maintains manuals and other materials as necessary.
• Maintains accurate records and organizes filing and archive system to facilitate retrieval of information.
• Monitors and maintains appropriate levels of office supplies, equipment and other materials.

 

                    

2.         Responsible for the activities of clerical functions to assure the accurate and timely completion of required responsibilities and special projects.

 

PERFORMANCE STANDARDS:

• Effectively oversees, develops and evaluates clerical staff.
• Establishes, monitors and maintains standards of performance.
• Oversees the workflow of the clerical staff to insure documents are produced timely and accurately.
• Delegates and sets priorities for work received and distributes to others as appropriate.

       

3.         Produces a variety of complex documents requiring comprehensive knowledge of PC software packages.

 

PERFORMANCE STANDARDS:

• Demonstrates familiarity with all standardized formats utilized in correspondence, manuals, proposals, etc.
• Possess a clear comprehension and demonstrated capability to design and layout forms.
• Determines most appropriate software program for processing.
• Word-processes general correspondence, memos, charts, tables, graphs, business plans, etc.
• Prepares draft agendas and records minutes for meetings as requested.
• Consistently proofs work for completeness and accuracy.

 

4.         Provides administrative supervision to assure continuity of departmental operations.

 

PERFORMANCE STANDARDS:

• Ensures that departmental priorities are carried out on a daily basis.
• Ensures that goals and objectives of the department are administered daily and are consistent with management expectations.
• Ensures that departmental measures for processes and expectations are carried out on a daily basis.
• Assists director with recommending alternative methods of providing services to reduce departmental operating costs.
• Supervises the clerical staff of the department in regards to fluctuations in the workload.

             

 

5.                             

 ?    Verifies required patient information in accordance with VSC policy and patient privacy laws
   Obtains patient medical records and referral and prepares in accordance with BRVSA policy
   Obtains precertification for patient procedures in accordance with BRVSA and insurance policies and patient financial records
   Creates new patient charts and patient packages and maintains EMR's
   Ensures completeness/accuracy of data entry for case history
   Coordinates telephone/fax of incoming referrals 
   Acts as liaison between BRVSA with patients, physicians, customers and business representatives 
   Pre-certification surgeries and tests (CTA etc.)
   Scheduling patient appointments and follow-up visits
   Verify accuracy and completeness and maintain proper patient payment and financial documentation for billing purposes
   File and forward copies of medical requests as necessary and required
   Work with appropriate departments on denied or pending explanations of benefits
   Work with other departments or entities to verify benefits and pre-authorizations from various sources 

EXPERIENCE REQUIREMENTS

Sufficient previous secretarial experience with billing.

 

EDUCATIONAL REQUIREMENTS

Post high school vocational/specialized training preferred.

 

SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS

Knowledge of secretarial, office administrative procedures, and knowledge of use and operation of standard office equipment.

Knowledge of a variety of computer software applications in word processing, spreadsheets, database, and presentation software.

 

HIPAA REQUIREMENTS:

Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: Medical records w/o limitation both paper and electronic, patient demographics, lab and radiology results, patient information related to surgery or appointment schedules, information related to patient location, religious beliefs and/or public health records, patient financial information and billing, research data and public health record if applicable. 

 

SAFETY REQUIREMENTS:

Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: Incident reporting, hand washing, environment of care, patient identification,  validates, transports, monitors clinical alarms for all ages.

Requirements

   Verifies required patient information in accordance with VSC policy and patient privacy laws
   Obtains patient medical records and referral and prepares in accordance with BRVSA policy
   Obtains precertification for patient procedures in accordance with BRVSA and insurance policies and patient financial records
   Creates new patient charts and patient packages and maintains EMR's
   Ensures completeness/accuracy of data entry for case history
   Coordinates telephone/fax of incoming referrals 
   Acts as liaison between BRVSA with patients, physicians, customers and business representatives 
   Pre-certification surgeries and tests (CTA etc.)
   Scheduling patient appointments and follow-up visits
   Verify accuracy and completeness and maintain proper patient payment and financial documentation for billing purposes
   File and forward copies of medical requests as necessary and required
   Work with appropriate departments on denied or pending explanations of benefits
   Work with other departments or entities to verify benefits and pre-authorizations from various sources 

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