Patient Placement Rep

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Position Details

Department: CORP | One Call Patient Access
Location: Phoenix
Shift: Mon-Fri, Sat, Sun, (Days Vary), Nights, 7pm-7am
Category: Patient Access
Posting #: 895821
Employee Type: Full-Time

Position Summary

This position is responsible for assisting the coordination of information to support timely and accurate registration for admissions, direct admissions, and transfers to Phoenix Children`s. Additionally, responsibilities include verification of patient demographics, insurance, and initiating authorization notifications for inpatient / outpatient admissions or status changes.

Position Duties

  1. Accurately documents all information in the appropriate fields and/or system.
    • Maintains accuracy when entering demographic and insurance information in the system.
    • Accurately completes all status changes in appropriate system.
    • Facilitates daily census reconciliation.
    • Monitors and updates Bed Tracker system.
    • Creates pre-admission accounts for all unscheduled incoming patients.
    • Creates expected emergency department account visits for incoming patients/traumas.
  2. Accurately reviews insurance requirements and initiates authorization notification/verification using an automated verification tool, insurance carrier websites, or by phone. Accurately documents all information in the appropriate fields and notates accounts.
  3. Collaborates with Patient Placement Coordinator in a variety of patient placement duties as appropriate.
    • Assists with accurately collecting required data for transfer/admission.
    • Assists with determination of patient benefits/eligibility for transfer or admission to facility. Identifies whether insurance is in/out of network and follow appropriate procedure.
    • Assists with incoming calls from providers or healthcare organizations.
    • Coordinates bed assignments with Clinical Supervisor.
    • Coordinates delivery of appropriate bed to patient room.
    • Assigns beds for unit to unit transfers and admissions as pre-determined by Patient Placement Coordinator.
    • Maintains accuracy of bed board.
  4. Maintains a positive, professional work relationship with patients/guarantors, insurance companies, clinical personnel, co-workers, and management to promote teamwork, collaboration, and a positive public image for PC.
  5. Establishes and maintains multi-tasking mentality in an effort to produce consistency throughout each day/night shift.
  6. Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
  7. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Education
Do you meet this requirement?
1. High School Diploma or equivalent.
Required
2. Associates Degree in Healthcare, Business, or related field.
Preferred
Experience
Do you meet this requirement?
1. 1 year of Medical Registration, Billing or related experience.
Required
2. Experience with inpatient and observation insurance notifications.
Required
3. Customer service experience in health care or retail environment.
Required
4. Electronic Medical Record (EMR) experience.
Preferred
Special Skills
Do you meet this requirement?
1. Effective verbal and written communication skills, professional demeanor, team player with customer-focused attitude.
Required
2. Knowledge of medical terminology and ICD 10/CPT codes and an understanding of HIPAA privacy laws.
Required
3. Ability to work effectively in a high-volume, fast-paced environment with changing priorities.
Required
4. Analytical skills with strong attention to detail and a high degree of accuracy. Proficiency with computer based systems.
Required
5. Bilingual.
Preferred
6. Follow any payer or governmental requirement as required by the organization.
Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing - Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally
4. Physical Requirement - Hearing - Constantly
5. Physical Requirement - Pushing/pulling - Occasionally
6. Physical Requirement - Reaching - Occasionally
7. Physical Requirement - Sitting - Constantly
8. Physical Requirement - Standing - Occasionally
9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
10. Physical Requirement - Talking - Constantly
11. Physical Requirement - Walking - Frequently
12. Physical Requirement - Near Vision - Frequently
13. Physical Requirement - Far Vision - Frequently
14. Physical Requirement - Color Discrimination - Occasionally
15. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
16. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
17. Occupational Exposure/Risk Potential - Inside office environment - Applicable
18. Occupational Exposure/Risk Potential - Confined areas - Applicable
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply