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PATIENT ACCESS OPPORTUNITIES - REGISTRARS, FINANCIAL CLEARANCE/DENIAL SPECIALISTS, & SCHEDULERS
Beebe Healthcare
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Details

Posted: 27-May-23

Location: Lewes, Delaware

Salary: Open

Categories:

Operations

Internal Number: 8575



Patient Access is looking for Full Time and Part Time employees!!

**APPLY NOW **


Registrars: Variable Shifts to include

Looking for individuals who have previously worked in a hospital or medical office environment. Familiar with admitting and medical insurances preferred.

Summary:
Under direct supervision, performs all duties related to registering patients receiving outpatient services by obtaining demographic, insurance, and medical information.

(full description below)


Financial Clearance Specialist (Pre-Arrival): Variable Shifts

Looking for individuals who have previously worked in a hospital or medical office environment. Familiar with scheduling, insurance verification/authorization and medical terminology preferred

Summary:
This individual is responsible for scheduling patients, collecting demographic and insurance information. Verifying Insurance eligibility and benefits, obtaining authorization and referrals as required for scheduled outpatient exams.

(full description below)


Schedulers (Pre-Arrival): Variable Shifts

Looking for individuals who have at least 2 years previous hospital or medical office experience. Familiar with scheduling, basic anatomy, and medical terminology preferred

Summary:
Responsible for scheduling appointments for all ancillary depts with patients, physicians Order Facilitator Work lists, Online Appointment requests and physician's offices via phone. Responsible for informing patients or physician's staff of proper prep instructions for test ordered and any precertification that are required. Obtain accurate appointment and financial information to create financial accounts in OAS Gold . Must maintain excellent repore with physician's offices and ancillary departments.

(full description below)



FULL DESCRIPTIONS:

CENTRAL: REGISTRAR

Summary:
Under direct supervision, performs all duties related to registering patients receiving outpatient services by obtaining demographic, insurance, and medical information.

Other information:
Previous experience in hospital registration or medical office environment with familiarity of admitting and insurance preferred.Ability to communicate with public in a courteous manner modeling the Beebe Values. Ability to adapt to change in order to meet patient and organizational needs. Ability to assist with direct patient contact including placement of arm bands on patient wrist/ankles, assists variable aged/weighted wheelchair patients to destinations, able to quickly assess and utilize universal precautions to include but not limited to; injuries, illnesses, clinician contact/notification, etc. Sensitive to difficult/emotional patient situations to include life threatening illness or injuries, loss of limb or life. Ability to recognize cultural diversity and special needs, remains calm and able to perform duties in a emergency environment to include but not limited to: traumatic injuries, active bleeding, loss of bodily fluids, offensive smells, death, disaster/mass casualty, etc.Typing/Computer skills with attention to details, Medical Terminology required.

Responsibilities:
Interviews patient/patient representatives to obtain demographic and insurance information necessary for patient safety, customer service, quality of care and fiscal responsibility in accordance with state and federal guidelines. Inputs patient registration information into computer system and verifies accuracy of data entered. Prepares required forms for signature by patient or patient representative and ensures that each is explained and presented. Performs all registration functions applicable to their position such as pre-registration, registration, upgrading accounts and admitting to meet department and organizational requirements. Follows established medical center policies and procedures to include: National Patient Safety Goals, National Certification (CHAA), Corporate Integrity/HIPPA, s/a 2 forms of identification (name & date of birth), arm band placement with patient verifying name/DOB, hand hygiene/Infection Control. Assists in care and maintenance of equipment, supplies, and departmental resources/personnel; to include contact of Helpdesk as appropriate, Plant Engineering, On-Call coverage. Alerts supervisor to staffing concerns, malfunction of equipment and/or call for maintenance/repair. Performs other duties as assigned.

SOUTH COASTAL: REGISTRAR
Summary:
Under direct supervision, performs all duties related to registering patients receiving outpatient services by obtaining demographic, insurance, and medical information.

Other information:
Previous experience in hospital registration or medical office environment with familiarity of admitting and insurance preferred.Ability to communicate with public in a courteous manner modeling the Beebe Values. Ability to adapt to change in order to meet patient and organizational needs. Ability to assist with direct patient contact including placement of arm bands on patient wrist/ankles, assists variable aged/weighted wheelchair patients to destinations, able to quickly assess and utilize universal precautions to include but not limited to; injuries, illnesses, clinician contact/notification, etc. Sensitive to difficult/emotional patient situations to include life threatening illness or injuries, loss of limb or life. Ability to recognize cultural diversity and special needs, remains calm and able to perform duties in a emergency environment to include but not limited to: traumatic injuries, active bleeding, loss of bodily fluids, offensive smells, death, disaster/mass casualty, etc.Typing/Computer skills with attention to details, Medical Terminology required.

Responsibilities:
Interviews patient/patient representatives to obtain demographic and insurance information necessary for patient safety, customer service, quality of care and fiscal responsibility in accordance with state and federal guidelines. Inputs patient registration information into computer system and verifies accuracy of data entered. Prepares required forms for signature by patient or patient representative and ensures that each is explained and presented. Performs all registration functions applicable to their position such as pre-registration, registration, upgrading accounts and admitting to meet department and organizational requirements. Follows established medical center policies and procedures to include: National Patient Safety Goals, National Certification (CHAA), Corporate Integrity/HIPPA, s/a 2 forms of identification (name & date of birth), arm band placement with patient verifying name/DOB, hand hygiene/Infection Control. Assists in care and maintenance of equipment, supplies, and departmental resources/personnel; to include contact of Helpdesk as appropriate, Plant Engineering, On-Call coverage. Alerts supervisor to staffing concerns, malfunction of equipment and/or call for maintenance/repair. Performs other duties as assigned.

ED: REGISTRAR


Summary:
Under direct supervision, performs all duties related to registering ED patients, patients being admitted to the medical center or receiving outpatient services by obtaining demographic, insurance, and medical information.

Other information:
Previous experience in hospital registration or medical office environment with familiarity of admitting and insurance preferred.Ability to communicate with public in a courteous manner modeling the Beebe Values. Ability to adapt to change in order to meet patient and organizational needs. Ability to assist with direct patient contact including placement of arm bands on patient wrist/ankles, assists variable aged/weighted wheelchair patients to destinations, able to quickly assess and utilize universal precautions to include but not limited to; injuries, illnesses, clinician contact/notification, etc. Sensitive to difficult/emotional patient situations to include life threatening illness or injuries, loss of limb or life. Ability to recognize cultural diversity and special needs, remains calm and able to perform duties in a emergency environment to include but not limited to: traumatic injuries, active bleeding, loss of bodily fluids, offensive smells, death, disaster/mass casualty, etc.Typing/Computer skills with attention to details, Medical Terminology required.

Responsibilities:
Interviews patient/patient representatives to obtain demographic and insurance information necessary for patient safety, customer service, quality of care and fiscal responsibility in accordance with state and federal guidelines. Inputs patient registration information into computer system and verifies accuracy of data entered. Prepares required forms for signature by patient or patient representative and ensures that each is explained and presented. Processes admission record and/or Emergency Department medical record. Performs ED check-out process with attention to detail, verifies/upgrades account, accepts co-payment and accurately completes cash out procedure. Performs Admissions with attention to detail, procuring signatures and completing follow-up, working with Nursing Supervisor and other departments as needed in order to facilitate in patient care. Performs all registration functions applicable to their position such as pre-registration, registration, upgrading accounts and admitting to meet department and organizational requirements. Follows established medical center policies and procedures to include: National Patient Safety Goals, National Certification (CHAA), Corporate Integrity/HIPPA, s/a 2 forms of identification (name & date of birth), arm band placement with patient verifying name/DOB, hand hygiene/Infection Control. Assists in care and maintenance of equipment, supplies, and departmental resources/personnel; to include contact of Helpdesk as appropriate, Plant Engineering, On-Call coverage . Alerts supervisor to staffing concerns, malfunction of equipment and/or call for maintenance/repair. Performs other duties as assigned.

PRE-ARRIVAL: FIN CLEAR SP
Summary:
Under general supervision, this individual is responsible for scheduling patients, collecting demographic and insurance information. Verifying Insurance eligibility and benefits, obtaining authorization and referrals as required for scheduled outpatient exams.

Other information:
Comprehensive medical and insurance terminology. Comprehensive knowledge of medical insurance plans, and managed care plans.1 year experience previous registration/admitting and/or physician office experiencePrior scheduling experience , insurance verification/authorization experience preferred.Working knowledge of healthcare registration, insurance referral and authorization processes. Ability to communicate with physicians offices, patients and insurance carriers in a professional and courteous manner. Typing and .

Responsibilities:
Initiates and tracks referrals, insurance verification and authorizations for all outpatient encounters . Utilizes third party payer websites and telephone to retrieve coverage eligibility , authorization requirements and benefit information to include copays and deductibles. Works directly with physicians office staff to obtain clinical data needed to acquire authorization from carrier. Inputs information online or calls carrier to submit request for authorization, provides clinical back up for test and documents approval or pending status. Follows up on any pending status authorizations. Documents insurance coverage restrictions, referrals, benefits and authorizations in SCI scheduling notes. Completes Insurance verification form. Inputs authorization numbers, CPT codes and date spans into Invision and OAS Gold. Identifies issues and problems with referral/insurance verification processes, analyzes current processes, and recommends solutions and improvements. Reviews and follow up on authorization wordlists for all payors. Coordinates and schedules services for patients of physicians in the authorization program. Provides departments with physician orders and other requested information. Researches delays in service and discrepancies of orders. Monitors fax machine to retrieve orders and requests for tests to be scheduled. Assists lead, manager & financial services staff with denial issues by providing accurate supporting data. Initiate appeals and request reviews with the Medical Director to overturn denials. Obtains additional clinical information as needed to support testing requested . Advises physicians of Medical Review decisions and work with physicians to get approval. Reviews Medicaid, Blue Cross and Commercial carrier daily wordlists to insure that authorizations from non participating physicians are documented, validates with carrier that correct CPT codes are authorized. Insures that CPT codes match exam that is ordered by physician. Pre- registers patients to obtain demographic and insurance information necessary for registration , insurance verification , authorization, referrals and bill processing. Demonstrates proficiency with scheduling guidelines , departmental protocols, insurance matrix and authorization requirements. Demonstrates proficiency in scheduling studies for diagnostic imaging, non invasive cardiac testing, cardiac cauterizations, vascular testing, pulmonary studies, EEG, and rehab evaluations and treatments. Assist in care and maintenance of equipment and supplies. Alerts lead to malfunction of equipment and/or call for maintenance/repair. Develops and maintains a good working rapport with interdepartmental personnel such as; ancillary departments, physician offices and financial services. Performs other duties as assigned.

PRE-ARRIVAL: SCHEDULER
Summary:
Responsible for scheduling appointments for all ancillary depts with patients, physicians , Order Facilitator Work lists, Online Appointment requests and physician's offices via phone. Responsible for informing patients or physician's staff of proper prep instructions for test ordered and any precertification that are required. Obtain accurate appointment and financial information to create financial accounts in OAS Gold . Must maintain excellent repore with physician's offices and ancillary departments.

Other information:
Customer service experience required. Two years Hospital setting or physician's office experience. Knowledge of Medical terminology and basic anatomy. Prior scheduling , patient accounts, unit clerk or medical assistant experienced preferred.Telephone experience Prior scheduling experience Significant Computer experience Customer Service Experience Excellent Communication Skills

Responsibilities:
Inbound schedulers will be responsible to answer all incoming calls within 30 seconds. Schedulers should maintain a volume of 8 calls an hour. Outbound schedulers will be responsible to schedule appointments for all incoming faxes, Order Facilitator Work lists, PAS Online Scheduling Requests and Newborn screenings. Scheduler should maintain 40 accounts per day. Obtain demographic information (Last name, first name and date of birth ) to correctly identify patients being scheduled. Use additional identifiers when necessary ( Last four of social, address or phone number. Obtain accurate appointment information ( type of test, diagnosis, ordering physician, PCP & preferred location) to insure test/procedure is scheduled according to protocol. Answer all required scheduling questions and refer to scheduling instructions. Identifies all pre-certifications required and initiates trigger to send names to proper work lists. Coordinate STAT appointments between the ancillary departments and the physician's office. Insure accurate information is collected and notify FC team of any authorization requirements ( Via work list)Schedule accurate appointment advise patient and/or physician's office of arrival times, appointments (Give directions as needed) and test prep instructions when applicable. Run Medical necessity checks on all applicable insurances and procedures. When scheduling with the patient (on all outbound calls and incoming patient calls) please schedule procedure, complete pre-registration process, create account in Gold and verify demographic and insurance information as required. Verify Insurance through HDX or web sites, calls to insurance carriers will be referred to Pre-Registration staff. Please change to appropriate status on work lists. Ability to multi-task between heavy phone volume, multiple computer systems and frequent interruptions. Must be able to rapidly change priorities to address current need of department. Must be effective at adjusting to change, prioritize duties as necessary, handle stress and communicate with departments, co-workers, physician's and patients in a professional and courteous manner. Responsible to attend 80% of department staff meeting, read all staff meeting minutes, attend all applicable educational offerings , open and read e-mails daily to keep abreast of room changes and SCI updates. Responsible to use all educational resources such as Red Book, Insurance Web Sites, Insurance Matrix, Payor Updates, QA reminders, Huddles and scheduling protocols. Responsible to bring to the attention of lead or manager all scheduling backlogs , patient, physician office or employee concerns .

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About Beebe Healthcare
Beebe Healthcare serves the Sussex County community with a medical center located in beautiful, historic Lewes, Delaware, and convenient outpatient locations throughout the county. Founded in 1916 by two physician brothers, Drs. James Beebe and Richard C. Beebe, the medical center in Lewes is a 210-licensed-bed, not-for-profit seaside community hospital. Beebe's specialized service lines include cardiac and vascular, surgical services, oncology, women's health, and orthopaedic services. Beebe offers an array of inpatient, outpatient, emergency, and diagnostic services. Beebe's five satellite campuses offer imaging, physical rehabilitation, and lab services, as well as walk-in care centers. In addition, Beebe offers Wound Healing & Hyperbaric Medicine and Diabetes Management & Medical Nutrition Therapy. With a mission to serve the community, Beebe also offers many free screenings and outreach programs through its Population Health Department; and advanced medical care for those who are recuperating at home through Beebe Home Care Services. Beebe is also training the next generation of nurses through the Margaret H. Rollins School of Nursing, located behind the Medical Cente...r in Lewes. Beebe's Medical Staff has grown tremendously since the early 1990s. Employed physicians through Beebe Medical Group and our affiliated physicians on Beebe's Medical Staff now serve patients from Milford to Millville in specialties including cardiac surgery, dermatology, endocrinology, family practice, gastroenterology, general surgery, internal medicine, pediatric neurology, and surgical oncology. Beebe is proud to offer quality care, close to home for the residents and visitors of Sussex County.
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