Patient Financial Access Facilitator

Posted on Sep 22, 2024 by Yale New Haven Health
New Haven, CT
Other
Immediate Start
Annual Salary
Full-Time
Overview:

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Patient Financial Access Facilitator is responsible for all functions and processes related to patient check -in,

check-out, registration and scheduling. Obtains and updates the patient 's demographic and financial information in a

sometimes demanding atmosphere utilizing multiple applications to assure timely processing of the patient visit .

Performs a variety of functions including accurate patient identification while adhering to Red Flag procedures to

ensure patient safety. Must stay abreast of all insurance changes and adheres to managed care requirements and

all other information legislated for Health Care as it relates to the health system. Must understand the various

insurance carriers' options and completes insurance entry accurately, satisfying billing requirements to ensure a

payable account. Verifies eligibility of insurances, identifies and collects co -pay balances, and initiates other funding

referrals as outlined by departmental policy when appropriate

EEO/AA/Disability/Veteran

Responsibilities:

1. Initiates and completes patient visit information in accordance with YNHH department protocol

2. Collects necessary patient demographic and insurance information when completing the registration

process

3. Promptly and efficiently accommodates walk-ins/add-on patients by scheduling appointments, visits and

updates registration information

4. Provides support in coordinating arrangements for patients who require additional assistance (i.e.

non-English speaking, hard of hearing, disabled, etc.)

5. Obtains required signatures and ensures appropriate authorizations are obtained. Documents account

information and systems appropriately

6. Completes all EMR check-list to ensure that all registration items are satisfied on the patient accounts

7. Must share an equal percentage of patient registration volume as observed by the supervisor and

evidenced by review of productivity reports

8. Accurately and promptly schedules patient appointments per department standards

9. Schedules patient appointments by obtaining all necessary patients demographic and insurance

information. Works in collaboration with clinical team to schedule appointments according to facility

schedule, staff availability and patient needs

10. Accurately creates and selects proper visit information (i.e. visit type, duration, and provider).

Documents appropriate information pertaining to the visit in the appointment note field

11. Ensures that if there is a wait list/recall list for visits, it is checked daily and empty slots are filled

12. Performs other scheduling/rescheduling duties as needed

13. Ensures appropriate financial information is accurately obtained and documented to ensure proper

reimbursement to the health system

14. Demonstrates understanding of the various third party payers and accurately completes insurance entry

in order to satisfy billing requirements

15. Exhibits understanding of the on-line eligibility system and independent insurance websites including

understanding patient's eligibility, determining benefits and patient responsibility due

16. Informs patients of their financial responsibility as it relates to benefits and non-covered balances.

Makes all attempts to collect copay and/or deductibles due at point of service

17. Identifies when the patient has a financial need and refers patient to appropriate department for follow

up. Acts as a representative of the Hospital by protecting the financial well-being of the patients and

the hospital

18. Maintains all required system and web application log in codes to make certain they are active for

utilization at all times

19. Follows Customer Service guidelines in accordance with YNHH department protocol

20. Ensures smooth functioning of all processes in order to ensure a positive patient experience by

acknowledging and receiving patients, physicians and visitors to the department following the YNHHS

Standard of Professional Behaviors

21. Models customer service standards and demonstrates value for all people in the work environment. Is

prompt, courteous and accurate in letting department members know of patient's arrival

22. Works closely with clinical team to ensure timely patient throughput . Notifies clinical team when

patients experience delays. Keeps patients informed when delays occur

23. Attends customer service training program to support model behavior

24. Maintains a high regard for patient privacy and ensures the confidentiality of PHI (Patient Health

Information)

25. Follows department guidelines and identifies events where the service to a customer was less than

optimal and appropriately begins and carries through the service recovery process

26. Recognizes when errors or potential problems occur (i.e. discrepancies in patient information and

patient ID issues) and takes steps to correct. Works in collaboration with the clinical staff to identify

and resolve complex patient identification issues

27. Answers phone by responding no later than the third ring, identifying self and department on each call,

asking the caller's permission before putting her/him on 'hold' and is attentive and courteous to the

caller

28. Utilizes EPIC Inbasket/Telephone Encounter functionality by recording appropriate information and

promptly relaying messages to appropriate personnel

29. Utilizes Health System and Department resources to effectively support the patient

experience

30. Participates in designated committees, staff meetings, workgroups, and attends all in-service to support

team building and communication enhancements

31. Demonstrates effective problem solving ability by recognizing potential problems and intervenes to make

things right. Develops potential solutions to be presented to management or work teams

32. Ability to assist and act as a resource to other team members with troubleshooting on complex

problems, before bringing it to the attention of the Supervisor or senior team member

33. Maintains professional appearance by adhering to the departmental uniform policy

34. Must be proficient in accessing other related system programs and websites, maintaining passwords as

required

35. Demonstrates the ability to problem solve and resolve various registration issues as they pertain to the

computer systems

36. Knowledgeable of downtime procedures and incident planning. Demonstrates proficiency in

understanding EPIC downtime functions including issuing CSN numbers and how to utilize the SRO.

Ability to do system recovery including reconciliation

37. Supports Organizational and Departmental Goals

38. Performs all functions in accordance with established policies and procedures

39. Demonstrates and applies sound knowledge of policies and procedures when performing all scheduling

and registration functions

40. Communicates effectively with all co-workers, staff from other departments, physicians, and patients

addressing any issues affecting workflow

41. Provides written and oral communication to management or senior team member when required

42. Proactively identifies problem prone areas or processes and recommends solutions. Trains fellow

employees on correct/new procedures

43. Follows Department Uniform Policy and Dress code Guidelines related to professional, business attire

44. Able to communicate and escalate issues to Managers, Supervisors, Seniors, and lead team members

in writing

45. Performs other duties as assigned by Supervisor

46. Identifies and recommends opportunities to improve Patient Access activities

47. Provides training to other staff members (or temporaries) on a particular job function or projects or

demonstrates tasks/duties when required

48. Motivates others to seek solutions throughout the work day and facilitates discussions in the work

group to ensure that tasks are completed and goals met

49. Keeps abreast of changing federal, state, and insurance regulations and departmental

policies/procedures

50. Exhibits a positive attitude as it relates to interaction with coworkers, performance of job

responsibilities, and a genuine interest in the proper performance of job

51. Actively participates in all staff meetings, seminars, training sessions and work groups to advance

departmental goals

52. Independently works on special projects as assigned in the area to address issues and meet goals of

the department

53. Attends courses as recommended by Supervisor to increase knowledge and technical expertise (i.e.

takes classes on communication skills and advanced systems)

54. As new releases are implemented and/or procedures are revised, attends training to ensure employee

can proficiently perform expected job duties

55. Initiates projects to support the goals of the department

Qualifications:

EDUCATION

High school diploma or GED required. Associate degree preferred

EXPERIENCE

One (1) to two (2) years of work experience in a customer service environment preferably in a hospital /physician

office with emphasis on registration, third party insurance verification and financial clearance dealing with all aspects

of medical insurance and eligibility requirements preferred

SPECIAL SKILLS

Self-directed, well organized and exhibiting excellent interpersonal and team oriented skills with a strong ability to

interpret insurance benefits and apply to hospital services. Basic computer skills and the ability to adapt to various

programs/systems. Capable of balancing appropriate level of intervention and partnering with clinical staff to insure

the highest quality of patient care. Spanish speaking required for positions in the PCC

Reference: 202174462

https://jobs.careeraddict.com/post/95512565

Patient Financial Access Facilitator

Posted on Sep 22, 2024 by Yale New Haven Health

New Haven, CT
Other
Immediate Start
Annual Salary
Full-Time
Overview:

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Patient Financial Access Facilitator is responsible for all functions and processes related to patient check -in,

check-out, registration and scheduling. Obtains and updates the patient 's demographic and financial information in a

sometimes demanding atmosphere utilizing multiple applications to assure timely processing of the patient visit .

Performs a variety of functions including accurate patient identification while adhering to Red Flag procedures to

ensure patient safety. Must stay abreast of all insurance changes and adheres to managed care requirements and

all other information legislated for Health Care as it relates to the health system. Must understand the various

insurance carriers' options and completes insurance entry accurately, satisfying billing requirements to ensure a

payable account. Verifies eligibility of insurances, identifies and collects co -pay balances, and initiates other funding

referrals as outlined by departmental policy when appropriate

EEO/AA/Disability/Veteran

Responsibilities:

1. Initiates and completes patient visit information in accordance with YNHH department protocol

2. Collects necessary patient demographic and insurance information when completing the registration

process

3. Promptly and efficiently accommodates walk-ins/add-on patients by scheduling appointments, visits and

updates registration information

4. Provides support in coordinating arrangements for patients who require additional assistance (i.e.

non-English speaking, hard of hearing, disabled, etc.)

5. Obtains required signatures and ensures appropriate authorizations are obtained. Documents account

information and systems appropriately

6. Completes all EMR check-list to ensure that all registration items are satisfied on the patient accounts

7. Must share an equal percentage of patient registration volume as observed by the supervisor and

evidenced by review of productivity reports

8. Accurately and promptly schedules patient appointments per department standards

9. Schedules patient appointments by obtaining all necessary patients demographic and insurance

information. Works in collaboration with clinical team to schedule appointments according to facility

schedule, staff availability and patient needs

10. Accurately creates and selects proper visit information (i.e. visit type, duration, and provider).

Documents appropriate information pertaining to the visit in the appointment note field

11. Ensures that if there is a wait list/recall list for visits, it is checked daily and empty slots are filled

12. Performs other scheduling/rescheduling duties as needed

13. Ensures appropriate financial information is accurately obtained and documented to ensure proper

reimbursement to the health system

14. Demonstrates understanding of the various third party payers and accurately completes insurance entry

in order to satisfy billing requirements

15. Exhibits understanding of the on-line eligibility system and independent insurance websites including

understanding patient's eligibility, determining benefits and patient responsibility due

16. Informs patients of their financial responsibility as it relates to benefits and non-covered balances.

Makes all attempts to collect copay and/or deductibles due at point of service

17. Identifies when the patient has a financial need and refers patient to appropriate department for follow

up. Acts as a representative of the Hospital by protecting the financial well-being of the patients and

the hospital

18. Maintains all required system and web application log in codes to make certain they are active for

utilization at all times

19. Follows Customer Service guidelines in accordance with YNHH department protocol

20. Ensures smooth functioning of all processes in order to ensure a positive patient experience by

acknowledging and receiving patients, physicians and visitors to the department following the YNHHS

Standard of Professional Behaviors

21. Models customer service standards and demonstrates value for all people in the work environment. Is

prompt, courteous and accurate in letting department members know of patient's arrival

22. Works closely with clinical team to ensure timely patient throughput . Notifies clinical team when

patients experience delays. Keeps patients informed when delays occur

23. Attends customer service training program to support model behavior

24. Maintains a high regard for patient privacy and ensures the confidentiality of PHI (Patient Health

Information)

25. Follows department guidelines and identifies events where the service to a customer was less than

optimal and appropriately begins and carries through the service recovery process

26. Recognizes when errors or potential problems occur (i.e. discrepancies in patient information and

patient ID issues) and takes steps to correct. Works in collaboration with the clinical staff to identify

and resolve complex patient identification issues

27. Answers phone by responding no later than the third ring, identifying self and department on each call,

asking the caller's permission before putting her/him on 'hold' and is attentive and courteous to the

caller

28. Utilizes EPIC Inbasket/Telephone Encounter functionality by recording appropriate information and

promptly relaying messages to appropriate personnel

29. Utilizes Health System and Department resources to effectively support the patient

experience

30. Participates in designated committees, staff meetings, workgroups, and attends all in-service to support

team building and communication enhancements

31. Demonstrates effective problem solving ability by recognizing potential problems and intervenes to make

things right. Develops potential solutions to be presented to management or work teams

32. Ability to assist and act as a resource to other team members with troubleshooting on complex

problems, before bringing it to the attention of the Supervisor or senior team member

33. Maintains professional appearance by adhering to the departmental uniform policy

34. Must be proficient in accessing other related system programs and websites, maintaining passwords as

required

35. Demonstrates the ability to problem solve and resolve various registration issues as they pertain to the

computer systems

36. Knowledgeable of downtime procedures and incident planning. Demonstrates proficiency in

understanding EPIC downtime functions including issuing CSN numbers and how to utilize the SRO.

Ability to do system recovery including reconciliation

37. Supports Organizational and Departmental Goals

38. Performs all functions in accordance with established policies and procedures

39. Demonstrates and applies sound knowledge of policies and procedures when performing all scheduling

and registration functions

40. Communicates effectively with all co-workers, staff from other departments, physicians, and patients

addressing any issues affecting workflow

41. Provides written and oral communication to management or senior team member when required

42. Proactively identifies problem prone areas or processes and recommends solutions. Trains fellow

employees on correct/new procedures

43. Follows Department Uniform Policy and Dress code Guidelines related to professional, business attire

44. Able to communicate and escalate issues to Managers, Supervisors, Seniors, and lead team members

in writing

45. Performs other duties as assigned by Supervisor

46. Identifies and recommends opportunities to improve Patient Access activities

47. Provides training to other staff members (or temporaries) on a particular job function or projects or

demonstrates tasks/duties when required

48. Motivates others to seek solutions throughout the work day and facilitates discussions in the work

group to ensure that tasks are completed and goals met

49. Keeps abreast of changing federal, state, and insurance regulations and departmental

policies/procedures

50. Exhibits a positive attitude as it relates to interaction with coworkers, performance of job

responsibilities, and a genuine interest in the proper performance of job

51. Actively participates in all staff meetings, seminars, training sessions and work groups to advance

departmental goals

52. Independently works on special projects as assigned in the area to address issues and meet goals of

the department

53. Attends courses as recommended by Supervisor to increase knowledge and technical expertise (i.e.

takes classes on communication skills and advanced systems)

54. As new releases are implemented and/or procedures are revised, attends training to ensure employee

can proficiently perform expected job duties

55. Initiates projects to support the goals of the department

Qualifications:

EDUCATION

High school diploma or GED required. Associate degree preferred

EXPERIENCE

One (1) to two (2) years of work experience in a customer service environment preferably in a hospital /physician

office with emphasis on registration, third party insurance verification and financial clearance dealing with all aspects

of medical insurance and eligibility requirements preferred

SPECIAL SKILLS

Self-directed, well organized and exhibiting excellent interpersonal and team oriented skills with a strong ability to

interpret insurance benefits and apply to hospital services. Basic computer skills and the ability to adapt to various

programs/systems. Capable of balancing appropriate level of intervention and partnering with clinical staff to insure

the highest quality of patient care. Spanish speaking required for positions in the PCC

Reference: 202174462

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