Mercy Medical Center Clinton Patient Service Representative – Radiology in Saint Joseph Mercy Health System Hospital Campus - Brighton, Michigan
16110_21026 Woodland Image Admin-Brighton
Expected Weekly Hours:
Job Description Details:
Requires working a variety of shifts, Saturday rotation and on call as needed.
GENERAL SUMMARY AND PURPOSE:
Provides assistance, guidance and direction to visitors and patients. Provides information to patients concerning regulatory requirements. Provides estimated costs and patient responsibility, facilitating collection of co-pay, deductible and private pay balances. Responsible for the complete and accurate collection of patient demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Schedules, registers and check-in patients for both scheduled and walk-in Radiology exams. Uses departmental information systems to track and retrieve data. Problem solving and resolution of patient account issues. Routinely interacts with technical, physician and other support staff, as well as patients.
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:
Accurate typing and data skills. Accurate spelling and grammar. Strong attention to detail.
Knowledge of medical terminology for registration and billing procedures.
Telephone skills and ability to operate office equipment such as personal computers, copiers, fax machines and printers.
Interpersonal skills to effectively communicate with a wide-range of staff, physicians, medical professionals, patients, visitors and other organizational personnel, in order to relay and obtain information. Guest relations skills and an awareness of the importance of role as first contact for patients within the hospital system.
Analytical skills to gather and interpret insurance data, maintain moderately complex records, and compile and calculate billing and statistical figures.
Organizational skills to prioritize multiple tasks, meet deadlines, and adapt quickly to changes and interruptions.
Requires a high school diploma or equivalent.
One or two years related experience.
Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution.
Maintains the confidentiality of information acquired pertaining to patient, physicians, associates, and visitors to St. Joseph Mercy Health System. Discusses patient and hospital information only among appropriate personnel in appropriately private places.
Behaves in accordance with the Mission, Vision and Values of SJMHS.
Receives and greet visitors and patients. Ascertains the nature of their business. Notifies appropriate staff. Assists and for directs visitors, patients and deliveries to appropriate areas. Answers routine questions; provides basic information and assistance with departmental procedures.
Performs patient registration by interviewing patient or patient's representative to obtain patient demographics such as name, address, birth date, physician's name, and insurance company information related to payment of hospital bills. Completes related forms and records, and enters information into computerized systems.
Determines appropriate payment required at point of registration (deposits, co-pays, minimum charges and non-covered services.) Collects payment at time of registration.
Verifies procedural and diagnosis codes submitted by service departments and physicians to assure accuracy for claims submission.
Communicates with patients their financial responsibility, benefit and authorization status prior to clinical services.
Obtains patient liability acknowledgment, explains the purpose and obtains signatures.
Schedules and arranges patient appointments for diagnostic tests, etc. following established scheduling guidelines and procedures. Prepares and distributes listings of patient appointments
Utilizes a variety of information systems (such as Healthquest, Cerner Powerchart, Radnet, etc.) to enter and access information in a pre-coded format. Maintains departmental computer database files and data used for quality assurance, statistical reporting and other purposes. This may include obtaining, clarifying, calculating and entering information, assisting in data retrieval.
May receive and respond to requests for release or verification of information. Locates orders and retrieves requested data from files. Maintains logs of work activities.
Works various reports to ensure accuracy and completion of claims.
Utilizes Scheduling Booking Reports, Stop/Go Reports, Schedules, to facilitate daily patient activity and flow in support of the clinical departments. Analyze completeness and accuracy of records on these reports proactively and take action as appropriate.
Answers telephone calls and routes calls appropriately.
Orders and maintains office supplies. Keeps work and visitor areas clean and organized.
Knows where to obtain information to assist Radiology team members, patients, internal and external customers.
Assists patients or physician office staff by referring to the appropriate sources of information.
Demonstrates team-player abilities and seamless service to patients.
Maintains competency by participating in on site and external training opportunities. Utilize skills gained from training sessions to improve and enhance their work processes and customer interactions.
Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually.
Based in Livonia, Mich., and with annual operating revenues of $17.6 billion and assets of $24.7 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 133,000 colleagues, including 7,800 employed physicians and clinicians.
Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs. For more information, visit www.trinity-health.org at http://www.trinity-health.org/ . You can also follow @TrinityHealthMI on Twitter.