Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Job Title: Clinical Service Specialist

Entity: LGH

Location: Manheim Outpatient Center - 700 Lancaster Rd, Manheim, PA 17545

Hours: 0.6 FTE (24 Hours per week), Day Shift

Position Summary:

• Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and communicating effectively during increased volumes or with complex patients. Assists with the delivery of direct, non-licensed patient care in accordance with established methods and procedures, under the supervision and guidance of appropriate personnel.

Responsibilities:

• Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:

Registration

• Performs complete and accurate patient registration including but not limited to walk in, check-in, and or scheduled.

• Demonstrates ability to successfully adapt and perform during times of high volumes and or high patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary.

• Supports inbound and outbound calls to or from patients, guests, or appropriate parties as needed to provide services.

Patient Liability and Point of Service Collections

• Understands and supports Point of Service Collections. Performs all necessary functions needed to collect patient obligations.

• Refers patient to appropriate person for questions regarding; collections, insurance coverage, and financial assistance.

• Disseminates or discusses information with the patients regarding co-pays, out of pocket expenses, pre-appointment preparation, arrival times, etc.

E-Health Record Verification

• Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable tests.

• Understands insurance company coverage and referral authorization requirements of payors. Performs electronic and manual verification of insurance coverage and understands how to read and accurately apply electronic insurance responses.

• Prepares and or releases records or orders in the e-Health record. Scans all necessary documents into appropriate medical record. Understands the importance of patient’s medical information that is documented on paper. Sends all pertinent information to document imaging or heath information management team with in the established time frames.

Compliance Regulatory

• Completes documentation for compliance and regulatory needs and or release of orders

• Retains knowledge and abides by all regulatory requirements pertaining to duties of position and overall operation of the Hospital as applicable .

Complex Situations and or Scheduling

• Screens and accurately relays messages using protocols established for emergent, urgent and non-urgent calls.

• Demonstrates ability to register unscheduled patients requiring a full financial clearance.

Work Queues- Understands how to complete patient and account

• Completes assigned patient scheduling and registration work queues according to performance standards.

• Ability to resolve work queue issues and missing registration items via electronic medical record.

Environmental Management

• Completes cleaning tasks utilizing OSHA standards.

• Performs maintenance and or inventory of equipment and supplies according to unit department standards

• Maintains appearance of patient care and public areas

Supply Management

• Orders, stocks and distributes supplies to meet the needs of the unit department

• Aware of cost containment practices and able to access need for changes in utilization

Patient Care Safety

• Greets and escorts patient and visitors to and from clinic exam room and prepares patient for visit with provider.

• Initiates patient visit follows up after visit when appropriate within scope and competency; following established standards.

• Prepares and assists provider with various procedures within scope and competency; following established guidelines

• Maintains clinical skills necessary to perform duty job

• Performs clinical functions as required, including any of the following: Phlebotomy, Pain Management, EKG’s, Holter Monitors, 24 hour Blood Pressure Monitoring, and Point of Care Testing if needed based on departmental needs.

Credentials:

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)

• Completion of educational requirements (additional formal education training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training). (Required)

• One (1) year prior experience of Revenue Cycle in a Hospital Medical Office Setting AND OR one (1) year administrative data entry experience in a medical facility, health insurance or business setting. (Required)

• One (1) year of clerical, customer service, or administrative support experience in a highly customer-oriented organization. (Required)

• One (1) year experience with basic keyboarding, personal computer use, and other office setting equipment. (Required)

• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program. (Required)

• One (1) year of Epic (or equivalent Electronic Medical Record) experience. (Preferred)

• One (1) year of registration experience, point of service collection, insurance validation, understanding of compliance regulatory guidelines and order release process(es). (Preferred)

• Epic or equivalent Electronic Medical Record experience. (Preferred)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 249063