Pre Access Specialist - Women's Imaging Center - St. Elizabeth Youngstown Hospital

** Summary of Primary Function/General Purpose of Position*
* Primary responsibilities include front desk, scheduling, registration, point of service collection and promoting the values and mission of BSMH.

** Essential Job Functions*
* + Schedules the correct procedure at the appropriate facility and appropriate time, while also ensuring assignment of proper patient types. Collects and accurately documents initial pre-certification / authorization information if available when scheduling

+ Accurately obtains / validates / documents patient demographic, insurance and clinical information and assigns correct payer plan code

+ Accurately pre-registers patients, including selection of proper medical record number for patient safety

+ Completes insurance verification and eligibility checks

+ Calculates patient liabilities and actively collects and processes patient payments

+ Receives and processes physician orders received via fax, Order Facilitator, EPIC or any other method available for receiving pre-service orders. Performs medical necessity / compliance checks to ensure services meet medical necessity based on Medicare Local Coverage Determination (LCD) and communicates ABN requirements to physician offices if scheduled service(s) is not medically necessary.

+ Performs front desk duties inclusive of patient check-in and escorting/assisting patient to gowned reception area. Corrects registration errors identified during pre-registration. Follows up on missing orders, ensures that requested orders are received and on file prior to services being rendered

+ Demonstrates problem solving skills related to scheduling, registration, financial clearance and patient liability

_This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation._

** Patient Population*
* _The following must be included in all position descriptions that involve direct or indirect patient care. This is a Joint Commission requirement. Also, select the age of the patient population served:_

+ ☒ Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.

+ ☐ Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

+ ☐ Neonates (0-4 weeks)

+ ☐ Adolescents (13-17 years)

+ ☐ Infant (1-12 months)

+ ☒Adults (18-64 years).

+ ☐ Pediatrics (1-12 years)

+ ☒ Geriatrics (65 years and older)

+ ☐ Not applicable to this position.

** Employment Qualifications*
* ** _Education Qualifications_
** _
- List the_   
** _minimum_
* * _education, training, and experience required to perform the essential functions of the position._

*
* Required Minimum Education:

*
* + High School Diploma or GED

+ Graduate of business school preferred.

** Minimum Qualifications*
* ** _Minimum Years and Type of Experience_*
* + 1-2 years of healthcare experience preferred

+ 1-2years of extensive customer service experience preferred.

+ Experience in multiple areas of pre-access (scheduling, pre-registration, financial clearance) preferred.

** _Other Knowledge,

Skills and Abilities

_*
* ** _Preferred_*
* + Medical terminology and knowledge of insurance preferred

+ Combination of post-secondary education and experience in lieu of a degree.

** Working Conditions*
* This section addresses the physical environment in which the employee will perform the work.

+ ☒ Periods of high stress and fluctuating workloads may occur.

+ ☐ Long-distance or air travel as needed- not to exceed 10% travel.

+ ☒ General office environment.

+ ☐ May be exposed to high noise levels and bright lights.

+ ☐ May be exposed to physical altercations and verbal abuse.

+ ☐ May be exposed to limited hazardous substances or body fluids.
* + ☐ May be…