Supervisory Patient Registration Specialist (Revenue Enhancement)
Tohono O'odham Nation Healthcare, Sells, AZ, United States
Medical Support Assistant Supervisor
This position is located within the Tohono O'odham Nation Health Care (TONHC) Sells Hospital, Patient Registration section. Under the general supervision of the Business Office Manager, incumbent provides technical and administrative first line supervision for medical support assistants.
Scope of Work: This is a working supervisory position that will ensure adequate coverage for patient registration. Incumbent spends 50% of time supervising and reviewing employee's work; training and mentoring entry level employees; and 50% off time performing specialized patient registration duties.
Essential Duties and Responsibilities:
Assigns work to employees; evaluates employees' work performance, develops performance standards, approves leave, advises, counsels, and instructs employee on work and administrative matters, interviews applicants, initiates disciplinary action including counseling.
Provides data weekly to the Business Office Manager for inclusion in reports and for use in employee performance appraisals.
Participates in committees and teams as deemed appropriate by the Business Office Manager.
Develops and provides employees with a monthly schedule of their work shifts.
Interviews patients to obtain pertinent patient registration information.
Assists patients in completing new or updated forms for the RPMS Patient Registration System, which include inpatient, dental, mental health, outpatient, emergencies and after hours.
Determines eligibility of patients seeking health care, who have not previously been treated at the facility, by obtaining the proper documentation according to established guidelines.
Responsible for making sure that patients without eligibility documents are sent to the appropriate medical screening clinic.
Ensures that Patient Registration employees are in compliance with Internal Control Policies and standards.
Identifies those patients whose health benefits are subject to prior approval to determine the extent of health care for both inpatient and outpatient services.
Obtains and verifies the health records and the RPMS patient registration system for Medicare, Medicaid and private/commercial insurance eligibility information for all patients seen prior to all clinical visits.
Initiates referral of potential third-party eligible patients to the Patient Benefits Coordinators for assistance in obtaining alternate resources.
Obtains privacy act forms, HIPAA forms, Medicare questionnaires, release for billing, etc.
Maintains, key-entries, updates, and verifies all alternate resources data necessary for patient registration and for accurate billing through the use of the RPMS Patient registration system.
Collects third party recipient health cards, obtains photocopies of the card and explains our billing system to the patients and families.
Ensures the verification of benefits and identification of those patients whose health benefits require prior approval and precertification.
Interviews patients to obtain information to initiate a new health record and/or communicates to Medical Records to reactivate a retired/stored record.
Maintains new patient number log.
Works clearly with the Health Information Management Services (HIMS) Director to oversee scanning of Patient Registration documents for Vista Imaging.
Recruits, interviews and selects new employees as needed in compliance with TONHC HR policies.
Provides orientation to Patient Registration for new and entry level employees.
Ensures an appropriate number of employees are available to meet the workload demands.
Operates a keyboard/ personal computer in combination with performing clerical work where data is input in an automated data processing system.
Contributes to a team effort.
Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.
Extensive working knowledge of eligibility and patient registration requirements of the Hospital programs.
Knowledge of whether documented proof offered meets Hospital requirements.
Working knowledge of specialized medical terminology.
Knowledge of various clinic systems, walk-ins, and appointments to avoid unnecessary delay and/or confusion on the part of the patient.
Knowledge of the various services offered by each clinic.
Knowledge of patient error reporting requirements to ensure compliance with internal controls policy.
Ability to exercise considerable tact in maintaining effective work relationships with various employees, clients, and patients. Position requires extreme accuracy and timeliness in all phases of work.
Knowledge off interview techniques, policies, and procedures to be able to refer inquires to appropriate personnel.
Knowledge of internal organizational structure and Medical Records in order to assemble patient information, to initiate new patient records or to reactivate retired charts.
Ability to manage time along with excellent organizational skills.
Knowledge of the Privacy Act of 1974 and HIPAA and the use of confidential information and health records as an integral part of the interviewing office function and the privacy of individuals which must be protected to the fullest extent possible.
Skill in the practical use of electronic systems to provide general clerical office support and perform job functions. A qualified typist of required.
Minimum Qualifications:
High School Diploma or General Education Diploma.
Three years' specialized experience in patient registration and related experience in medical records management.
One-year supervisory experience.
Licenses, Certifications, Special Requirements:
Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.
Physical Demands:
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit; walk; use hands to finger, handle, or feel; reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work is mostly sedentary with some walking, standing and bending while interviewing patients and preparing the appropriate paperwork for treatment of a patient or initiating a chart. Lifting of moderately heavy items such as manuals and boxes are required in this position.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
This position is located within the Tohono O'odham Nation Health Care (TONHC) Sells Hospital, Patient Registration section. Under the general supervision of the Business Office Manager, incumbent provides technical and administrative first line supervision for medical support assistants.
Scope of Work: This is a working supervisory position that will ensure adequate coverage for patient registration. Incumbent spends 50% of time supervising and reviewing employee's work; training and mentoring entry level employees; and 50% off time performing specialized patient registration duties.
Essential Duties and Responsibilities:
Assigns work to employees; evaluates employees' work performance, develops performance standards, approves leave, advises, counsels, and instructs employee on work and administrative matters, interviews applicants, initiates disciplinary action including counseling.
Provides data weekly to the Business Office Manager for inclusion in reports and for use in employee performance appraisals.
Participates in committees and teams as deemed appropriate by the Business Office Manager.
Develops and provides employees with a monthly schedule of their work shifts.
Interviews patients to obtain pertinent patient registration information.
Assists patients in completing new or updated forms for the RPMS Patient Registration System, which include inpatient, dental, mental health, outpatient, emergencies and after hours.
Determines eligibility of patients seeking health care, who have not previously been treated at the facility, by obtaining the proper documentation according to established guidelines.
Responsible for making sure that patients without eligibility documents are sent to the appropriate medical screening clinic.
Ensures that Patient Registration employees are in compliance with Internal Control Policies and standards.
Identifies those patients whose health benefits are subject to prior approval to determine the extent of health care for both inpatient and outpatient services.
Obtains and verifies the health records and the RPMS patient registration system for Medicare, Medicaid and private/commercial insurance eligibility information for all patients seen prior to all clinical visits.
Initiates referral of potential third-party eligible patients to the Patient Benefits Coordinators for assistance in obtaining alternate resources.
Obtains privacy act forms, HIPAA forms, Medicare questionnaires, release for billing, etc.
Maintains, key-entries, updates, and verifies all alternate resources data necessary for patient registration and for accurate billing through the use of the RPMS Patient registration system.
Collects third party recipient health cards, obtains photocopies of the card and explains our billing system to the patients and families.
Ensures the verification of benefits and identification of those patients whose health benefits require prior approval and precertification.
Interviews patients to obtain information to initiate a new health record and/or communicates to Medical Records to reactivate a retired/stored record.
Maintains new patient number log.
Works clearly with the Health Information Management Services (HIMS) Director to oversee scanning of Patient Registration documents for Vista Imaging.
Recruits, interviews and selects new employees as needed in compliance with TONHC HR policies.
Provides orientation to Patient Registration for new and entry level employees.
Ensures an appropriate number of employees are available to meet the workload demands.
Operates a keyboard/ personal computer in combination with performing clerical work where data is input in an automated data processing system.
Contributes to a team effort.
Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.
Extensive working knowledge of eligibility and patient registration requirements of the Hospital programs.
Knowledge of whether documented proof offered meets Hospital requirements.
Working knowledge of specialized medical terminology.
Knowledge of various clinic systems, walk-ins, and appointments to avoid unnecessary delay and/or confusion on the part of the patient.
Knowledge of the various services offered by each clinic.
Knowledge of patient error reporting requirements to ensure compliance with internal controls policy.
Ability to exercise considerable tact in maintaining effective work relationships with various employees, clients, and patients. Position requires extreme accuracy and timeliness in all phases of work.
Knowledge off interview techniques, policies, and procedures to be able to refer inquires to appropriate personnel.
Knowledge of internal organizational structure and Medical Records in order to assemble patient information, to initiate new patient records or to reactivate retired charts.
Ability to manage time along with excellent organizational skills.
Knowledge of the Privacy Act of 1974 and HIPAA and the use of confidential information and health records as an integral part of the interviewing office function and the privacy of individuals which must be protected to the fullest extent possible.
Skill in the practical use of electronic systems to provide general clerical office support and perform job functions. A qualified typist of required.
Minimum Qualifications:
High School Diploma or General Education Diploma.
Three years' specialized experience in patient registration and related experience in medical records management.
One-year supervisory experience.
Licenses, Certifications, Special Requirements:
Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.
Physical Demands:
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit; walk; use hands to finger, handle, or feel; reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work is mostly sedentary with some walking, standing and bending while interviewing patients and preparing the appropriate paperwork for treatment of a patient or initiating a chart. Lifting of moderately heavy items such as manuals and boxes are required in this position.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.