Clinical Service Specialist (Part Time/ Day Shift)
Company: Lancaster General
Location: Lancaster
Posted on: May 27, 2023
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Job Description:
Summary
24 hours per week; Monday-Thursday 2-7 and Friday 1-5 PM; no
holidays no weekends
Job Description
POSITION SUMMARY: Provides complete and accurate patient
scheduling, registration, insurance verification, ordering of tests
and coordination of applicable screening, diagnostic, physician
office and outpatient hospital services. Capable of coordinating
and communicating effectively during increased volumes or with
complex patients. Assists with the delivery of direct, non-licensed
patient care in accordance with established methods and procedures,
under the supervision and guidance of appropriate personnel.
ESSENTIAL FUNCTIONS: Qualified individuals must have the ability
(with or without reasonable accommodation) to perform the following
duties:
Registration
Performs complete and accurate patient registration including but
not limited to walk in, check-in, and/or scheduled.
Demonstrates ability to successfully adapt and perform during times
of high volumes and/or high patient acuity. Demonstrates skill to
service both hospital and physician office patients, if
necessary.
Supports inbound and outbound calls to or from patients, guests, or
appropriate parties as needed to provide services.
Patient Liability and Point of Service Collections
Understands and supports Point of Service Collections. Performs all
necessary functions needed to collect patient obligations.
Refers patient to appropriate person for questions regarding;
collections, insurance coverage, and financial assistance.
Disseminates or discusses information with the patients regarding
co-pays, out of pocket expenses, pre-appointment preparation,
arrival times, etc.
E-Health Record Verification
Verifies patient, guarantor, coverage and hospital account
information. Performs required referral/authorization processes and
enters orders for applicable tests.
Understands insurance company coverage and referral/authorization
requirements of payors. Performs electronic and manual verification
of insurance coverage and understands how to read and accurately
apply electronic insurance responses.
Prepares and/or releases records or orders in the e-Health record.
Scans all necessary documents into appropriate medical record.
Understands the importance of patient's medical information that is
documented on paper. Sends all pertinent information to document
imaging or heath information management team with in the
established time frames.
Compliance/Regulatory
Completes documentation for compliance and regulatory needs and/or
release of orders
Retains knowledge and abides by all regulatory requirements
pertaining to duties of position and overall operation of the
Hospital (as applicable).
Complex Situations and/or Scheduling
Screens and accurately relays messages using protocols established
for emergent, urgent and non-urgent calls.
Demonstrates ability to register unscheduled patients requiring a
full financial clearance.
Work Queues- Understands how to complete patient and account
Completes assigned patient scheduling and registration work queues
according to performance standards.
Ability to resolve work queue issues and missing registration items
via electronic medical record.
Environmental Management
Completes cleaning tasks utilizing OSHA standards.
Performs maintenance and/or inventory of equipment and supplies
according to unit/department standards
Maintains appearance of patient care and public areas
Supply Management
Orders, stocks and distributes supplies to meet the needs of the
unit/department
Aware of cost containment practices and able to access need for
changes in utilization
Patient Care/Safety
Greets and escorts patient and visitors to and from clinic/exam
room and prepares patient for visit with provider.
Initiates patient visit/ follows up after visit when appropriate
within scope and competency; following established standards.
Prepares and assists provider with various procedures within scope
and competency; following established guidelines
Maintains clinical skills necessary to perform duty/job
SECONDARY FUNCTIONS: The following duties are considered secondary
to the primary duties listed above:
May require regular travel to various sites within the region to
support operational needs as listed above.
Other duties as assigned.
JOB REQUIREMENTS
MINIMUM REQUIRED QUALIFICATIONS:
High school diploma or equivalent
Completion of educational requirements (additional formal
education/training; maximum supervision for initial competency;
high degree associated risk factors; yearly competency evaluation
and training).
One (1) year prior experience of Revenue Cycle in a
Hospital/Medical Office Setting AND/OR one (1) year
administrative/data entry experience in a medical facility, health
insurance or business setting.
One (1) year of clerical, customer service, or administrative
support experience in a highly customer-oriented organization.
One (1) year experience with basic keyboarding, personal computer
use, and other office setting equipment.
A health care provider in good standing with Medicare, Medicaid,
and other federal and state health insurance programs, i.e. not
excluded from participation in Medicare, Medicaid or any other
federal or state health insurance program.
PREFERRED QUALIFICATIONS:
One (1) year of Epic (or equivalent Electronic Medical Record)
experience.
One (1) year of registration experience, point of service
collection, insurance validation, understanding of compliance
/regulatory guidelines and order release process(es).
Epic or equivalent Electronic Medical Record experience.
Disclaimer: This job description is not intended and should not be
construed to be an exhaustive list of all responsibilities, skills,
efforts, or working conditions associated with the job. It is
intended to be a reflection of those principal job elements
essential for recruitment and selection, for making fair job
evaluations, and for establishing performance standards. The
percentages of time spent performing job duties are estimates, and
should not be considered absolute. The incumbent shall perform all
other functions and/or be cross-trained as shall be determined at
the sole discretion of management, who has the right to amend,
modify, or terminate this job in part or in whole. Incumbent must
be able to perform all job functions safely.
Benefits At A Glance:
PENN MEDICINE LANCASTER GENERAL HEALTH offers the following
benefits to employees:
100% Tuition Assistance at The Pennsylvania College of Health
Sciences
Paid Time Off and Paid Holidays
Shift, Weekend and On-Call Differentials
Health, Dental and Vision Coverage
Short-Term and Long-Term Disability
Retirement Savings Account with Company Matching
Child Care Subsidies
Onsite Gym and Fitness Classes
Disclaimer
PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity
Employer, committed to hiring a diverse workforce. All openings
will be filled based on qualifications without regard to race,
color, sex, sexual orientation, gender identity, national origin,
marital status, veteran status, disability, age, religion or any
other classification protected by law.
Search Firm Representatives please read carefully: PENN MEDICINE
LANCASTER GENERAL HEALTH is not seeking assistance or accepting
unsolicited resumes from search firms for this employment
opportunity. Regardless of past practice, all resumes submitted by
search firms to any employee at PENN MEDICINE LANCASTER GENERAL
HEALTH via-email, the Internet or directly to hiring managers at
Penn Medicine Lancaster General Health in any form without a valid
written search agreement in place for that position will be deemed
the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no
fee will be paid in the event the candidate is hired by PENN
MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or
through other means.
PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University
of Pennsylvania Health System (Penn Medicine), is a not-for-profit
health system with a comprehensive network of care encompassing
Lancaster General Hospital (LGH), Women & Babies Hospital and the
Lancaster Rehabilitation Hospital (a partnership with Kindred
Healthcare). We are an Accredited Trauma Center-Level I through the
Pennsylvania Trauma Systems Foundation with 805 Licensed beds. Our
membership in Penn Medicine brings together the strengths of a
world-renowned, not-for-profit academic medical center and a
nationally recognized, not-for-profit community healthcare
system.
Outpatient services are provided at the Downtown Outpatient and
Suburban Outpatient Pavilions, along with additional outpatient
centers and Express and Urgent Care locations throughout the
region. Lancaster General Health Physicians is a network of more
than 300 primary-care and specialty physicians, at more than 40
offices throughout the region.
Keywords: Lancaster General, Lancaster , Clinical Service Specialist (Part Time/ Day Shift), Healthcare , Lancaster, Pennsylvania
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