Job Description

DISTINGUISHING FEATURES OF THE CLASS: The work involves performing basic and complex Patient Access Services Representative activities at the Erie County Medical Center Corporation. The incumbent serves as a technical lead responsible for monitoring workflow and adjusting work assignments based on volume and complexity of the work. This class differs from that of Patient Access Services Representative by virtue of its increased work responsibility and performance of more difficult work assignments. The work is performed under the direct supervision of the Patient Access Services Manager. Supervision is not a function of this position. Does related work as required.

TYPICAL WORK ACTIVITIES:

Serves as a non-supervisory technical lead responsible for monitoring work assignments and making adjustments to the workflow/assignments for equitable distribution of work based on volume and complexity of the work as performed by Patient Access Services Representatives;

Receives technical work issues from applicable staff and develops solutions to remedy such issues; escalates complex work issues and other work/employee issues outside of the incumbent\'s level of responsibility to higher-level staff;

Monitors performance of work for compliance with applicable laws, rules and regulations, including Health Information Portability and Accountability Act of 1996 (HIPAA), privacy standards, established departmental policies and procedures, objectives, quality assurance, safety, environmental, infection control standards, etc.;

May perform audits of work performed by Patient Access Services Representatives;

Serves as a central resource for staff and patients;

Performs Patient Access Services Representative work activities;

Performs and coordinates with applicable departments for work related to patient health insurance eligibility such as obtaining and verifying preauthorization approval for procedures, receiving authorization errors and making corrections to errors; inputs information into the electronic computerized system;

Operates bed board system assigning beds appropriate to cohort specifications, hospital transfers, direct admissions and various bed board functions as based on assigned work location.

FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Good knowledge of the principles and practices of patient registration, patient scheduling, health insurance eligibility and health insurance verification and eligibility in a hospital setting; good knowledge of applicable laws, rules, regulations and accreditation standards as they relate to patient registration, patient scheduling, health insurance eligibility and health insurance verification and eligibility in a hospital setting; good knowledge of third party payers and the respective guidelines associated with respective payers; working knowledge of medical terminology; strong customer service skills; good interviewing skills; ability to monitor patient access services workflow and adjust work assignment for optimal effectiveness and efficiency; ability to comprehend, interpret and develop actions to address technical patient access services work; ability to audit technical patient access services work; ability to coordinate work with other departments; ability to operate a bed board assignment system; ability to use an alpha-numeric keyboard; ability to apply basic mathematical functions; ability to communicate effectively, both orally and in writing; ability to establish and maintain effective working relationships with a diverse constituency; ability to utilize a variety of electronic software applications; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.

MINIMUM QUALIFICATIONS:

Graduation from high school or possession of a high school equivalency diploma and two (2) years of clerical experience* in: patient admissions, patient registration, patient appointment scheduling, health insurance verification, health insurance eligibility or health insurance processing in a healthcare setting or third party payer setting.

*NOTE 1: Graduation from a regionally accredited or New York State registered college or university with a Bachelor\'s Degree may be substituted for one (1) year of the required qualifying experience.

NOTE 2: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.

Erie County Medical Center