Pre Access Specialist II - St. Elizabeth Youngstown Hospital at BON SECOURS MERCY HEALTH INC

Youngstown, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

01 May, 26

Salary

0.0

Posted On

31 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Scheduling, Registration, Patient Care, Insurance Verification, Customer Service, Problem Solving, Medical Necessity Checks, Financial Clearance, Pre-Registration, Patient Payments, Demographic Information, Clinical Information, Communication, Attention To Detail, Time Management, Teamwork

Industry

Hospitals and Health Care

Description

Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. 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 Essential Functions (7-10) Statements - List the essential functions of the job. Essential functions are the reasons a job exists. 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. Licensing/ Certification - If registration, certification or licensure is required, include the name of the accrediting or licensing body. Licensure/Certification Required None Licensure/Certification 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 Required 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. Physical Requirements Physical Demands Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) ☐ ☒ 1-33% ☐ ☐ Lifting/ Carrying (50-100 lbs.) ☒ 0% ☐ ☐ ☐ Push/ Pull (0-50 lbs.) ☐ ☒ 1-33% ☐ ☐ Push/ Pull (50-100 lbs.) ☐ x☐ 1-33% ☐ ☐ Stoop, Kneel ☐ ☒ 1-33% ☐ ☐ Crawling ☒ 0% ☐ ☐ ☐ Climbing ☐ ☒ 1-33% ☐ ☐ Balance ☒ 0% ☐ ☐ ☐ Bending ☐ ☒ 1-33% ☐ ☐ Work Position Sitting ☐ ☐ ☒ 34-66% ☐ Walking ☐ ☐ ☒ 34-66% ☐ Standing ☐ ☐ 1-33% ☐ ☐ Additional Physical Requirements/ Hazards Physical Requirements Hazards Select if a physical requirement for this job. Select if a potential hazard for this job. ☒ Manual dexterity (eye/hand coordination) ☐ Depth perception ☒ Perform shift work ☐ Use of Latex Gloves ☐ Maneuver weight of patients ☐ Exposure to toxic/caustic/chemicals/detergents ☒ Hear alarms/telephone/tape recorder ☐ Exposure to moving mechanical parts ☒ Reach above shoulder ☐ Exposure to dust/fumes ☒ Repetitive arm/hand movements ☐ Exposure to potential electrical shock ☒ Finger Dexterity ☒ Exposure to x ray/electromagnetic energy ☒ Color Vision ☐ Exposure to high pitched noises ☒ Acuity – far ☐ Gaseous risk exposure ☒ Acuity – near ☐ Other: As a Mercy Health associate, you're part of a Mission 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, HSA/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. 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 Employers, 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

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Responsibilities

The Pre Access Specialist II is responsible for scheduling procedures, collecting patient information, and ensuring proper registration and insurance verification. This role also involves front desk duties and assisting patients during check-in.