Lead Patient Access Representative - Children's Hospital Medical Center
Fairfield, OH
About the Job
Job Description
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's Hospital Has Been Named:
* The #1 Pediatric Hospital in the Nation - US News and World Report 2023
* One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
* A Top Hospital and Health System for Diversity recognized by DiversityInc
* One of the nation's most innovative companies by Fortune in March 2023
* An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)
JOB RESPONSIBILITIES
* Customer Service - Provides assistance and services to patients, families, staff and external agencies in the accurate completion of patient registration, admission and scheduling across multiple divisions. Investigates and resolves customer requests, questions or problems according to CCHMC policies and procedures. Contacts outside representatives to request information or assistance in resolving problems. Monitors and makes adjustments to optimize patient flow and staff utilization. Act as point of contact for clinical teams.
* Safety - Ensures patient safety by identifying the correct patient. identifying special needs, and preparing isolation precautions for patients who have Infectious Disease indicators. Escalate potential safety concerns regarding patient identity and other safety risks. Act as Team Lead for emergency management.
* HIPAA/Confidentiality - Maintains confidentiality, protects and safeguards patient/family personal medical and financial information at all times during collection, use and storage. Access only information and records necessary to perform the responsibilities of the position. Provide coaching on HIPAA/Confidentiality concerns, escalating concerns and potential resolutions to management.
* Revenue Cycle Support - Supports the Revenue Cycle, Health Information Management, and Regulatory by ensuring that the necessary data, information and forms are obtained and accurately entered into the appropriate system. Talks to management to explain system errors or to recommend changes to the system. Identify and resolve data and insurance coverage errors and trends. Manages escalated cases. Provides constructive feedback and coaching. Identifies trends and escalates to Manager.
* Compliance - Completes and authenticates all documents and questionnaires that ensure compliance with regulatory agencies (JCAHO, CMS, ODH). Escalate compliance concerns and offer resolutions to management. Completes compliance auditing and escalates issues or trends to Manager.
JOB QUALIFICATIONS
* High school diploma or equivalent
* 5+ years of work experience in a related job discipline.
Market Leading Benefits Including:
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs
* Medical coverage starting day 1 of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Referral bonus program for current staff!
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military FaApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjk5NDg0LjEwNTA4QGNpbmNpbm5hdGljaGlsZHJlbnNjb21wLmFwbGl0cmFrLmNvbQ
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's Hospital Has Been Named:
* The #1 Pediatric Hospital in the Nation - US News and World Report 2023
* One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
* A Top Hospital and Health System for Diversity recognized by DiversityInc
* One of the nation's most innovative companies by Fortune in March 2023
* An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)
JOB RESPONSIBILITIES
* Customer Service - Provides assistance and services to patients, families, staff and external agencies in the accurate completion of patient registration, admission and scheduling across multiple divisions. Investigates and resolves customer requests, questions or problems according to CCHMC policies and procedures. Contacts outside representatives to request information or assistance in resolving problems. Monitors and makes adjustments to optimize patient flow and staff utilization. Act as point of contact for clinical teams.
* Safety - Ensures patient safety by identifying the correct patient. identifying special needs, and preparing isolation precautions for patients who have Infectious Disease indicators. Escalate potential safety concerns regarding patient identity and other safety risks. Act as Team Lead for emergency management.
* HIPAA/Confidentiality - Maintains confidentiality, protects and safeguards patient/family personal medical and financial information at all times during collection, use and storage. Access only information and records necessary to perform the responsibilities of the position. Provide coaching on HIPAA/Confidentiality concerns, escalating concerns and potential resolutions to management.
* Revenue Cycle Support - Supports the Revenue Cycle, Health Information Management, and Regulatory by ensuring that the necessary data, information and forms are obtained and accurately entered into the appropriate system. Talks to management to explain system errors or to recommend changes to the system. Identify and resolve data and insurance coverage errors and trends. Manages escalated cases. Provides constructive feedback and coaching. Identifies trends and escalates to Manager.
* Compliance - Completes and authenticates all documents and questionnaires that ensure compliance with regulatory agencies (JCAHO, CMS, ODH). Escalate compliance concerns and offer resolutions to management. Completes compliance auditing and escalates issues or trends to Manager.
JOB QUALIFICATIONS
* High school diploma or equivalent
* 5+ years of work experience in a related job discipline.
Market Leading Benefits Including:
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs
* Medical coverage starting day 1 of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Referral bonus program for current staff!
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military FaApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjk5NDg0LjEwNTA4QGNpbmNpbm5hdGljaGlsZHJlbnNjb21wLmFwbGl0cmFrLmNvbQ
Source : Children's Hospital Medical Center
