Preregistration Representative-PRMC - ADMITTING - Presbyterian Healthcare Services
Clovis, NM 88101-9412
About the Job
Summary:
Uses reports and data from various Scheduling Systems to create accounts in the Hospital Information System. Will act as the gatekeeper to validate and verify the demographic information updated into the Hospital Information System from various information points, including but not limited to the physician s office, Hospital Information System and the patient. Will provide support to other areas in Patient Access and as needed
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: No
Work Schedule: Varied Days and Hours
Other information:
Education: High School Dimploma required
Two to three years of college level courses preferred or equivalent experience. Three to five years relevant work experience in healthcare. Three to five years customer service experience. Must be able to work cooperatively with the public as well as all levels of staff and management within the organization. Requires exceptional organizational and prioritization skills. Basic Excel experience preferred for monthly reporting requirements. Typing and ten key required. Bilingual preferred
UPDATED:09/17/21
Education:
Essential:
* High School Diploma or GED
Responsibilities:
Responsibilities:
*Creates scheduled inpatient admission accounts, including obstetric admissions, inpatient and outpatient surgery accounts, series accounts, and radiology and diagnostic studies accounts in the Hospital Information System from Scheduling Systems or other scheduling methods as agreed to by the Hospital.
*Validates and verifies demographics with the patient, physician or other entity by placing outgoing calls, using the Hospital Information System or by other means when appropriate.
*Researches patient s phone numbers, if not available, by contacting the referring physician s office, search past accounts, and phone directories if necessary.
*Review all outstanding discharged patient accounts prior to phoning the patient. This will ensure the necessary follow up with patient to close previous discharged accounts prior to new visit beginning.
*Contacts patient to complete pre-registration, collect defined minimum data set, including patient demographic and other identification data, insurance or other third-party payer information.
*Pre-Registers accounts in accordance with departmental Documentation Standards. Ensures patient demographic, financial and insurance information is documented in the Hospital Information System in a clear, concise, consistent and accurate manner.
*Researches inaccurate, incomplete or inconsistent information in accordance with departmental guidelines.
*Selects appropriate insurance plan codes for patient accounts.
*Provides a high level of customer service when dealing with patients and their families, departments and divisions.
*Communicates with patients in a confidential professional manner using tact and diplomacy.
*Provides high quality work without direct supervision.
*Adheres to department Quality Review process. Performs extensive follow-up as accounts are processed to ensure timely and accurate completion. Adheres to department productivity expectations as outlined.
*Uses department standard priority matrices and guidelines to prioritize daily workflow. Follows other planned priorities as assigned by the Patient Access Supervisor.
*Develops strong working relationships with all units within Patient Access such as, but not limited to Registration, Insurance Verification, POS Team and Financial Counseling. Additionally, develops working relationships with other departments such as the clinics and divisions to ensure maximum communication and coordination of service delivery.
*Participates in staff meetings and training sessions. Stays current on changing payer requirements related to accurate and high quality registration of patient accounts.
*Receives cross-training to work all Scheduling Systems. Receives cross-training across other department as needed.
*Works in a team environment. Assists other representatives and the Patient Access Supervisor as needed. Identifies when he/she requires assistance.
*Functions as a registration and insurance plan code expert.
*Identifies staff training needs. Notifies Patient Access Supervisor of any training items or issues that might be relevant to other Patient Access Representatives.
*Other duties as assigned
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits:
https://www.phs.org/careers/why-work-with-us/benefits
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico continues to grow steadily in population and features a low cost-of living.
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to:USD $21.01Compensation Disclaimer:The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.