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

Thank you for considering a career at Mercy Health!

Scheduled Weekly Hours:

16

Work Shift:

Other (United States of America)

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 required to use physical restraints.

• May be exposed to human blood and other potentially infectious materials.*

• May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

• May have periods of constant interruptions.

• Required to car travel to off-site locations, occasionally in adverse weather conditions.

• Prolonged periods of working alone.

• Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

Mercy Health is an equal opportunity employer.

As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

Women''s Imaging Center - St. Elizabeth - ABDU Breast Care Center

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.