Hospital Patient Access /HIM Specialist (Part Time)

Job description

Overview:
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: .

Responsibilities:
The Hospital Patient Access / HIM Specialist (Part Time) working under the supervision of the Patient Access / HIM Manager, is responsible for properly admitting and registering patients according to departmental standard operating procedures. The Associate is responsible for making the Revenue Cycle process as pleasant as possible, for patients and their families. Will follow all HIPAA and other compliance guidelines, as well as all local, state, and federal regulations. Will be instrumental in communicating with other departments within the facility. Must accurately collect and input patient information into the HIS (health information system) to ensure accurate patient identification, complete and accurate billing, guarantee complete and accurate medical record attainment, collect patient liability (POS), and make referrals to Financial Counselors, where appropriate. Will be responsible for multitasking to ensure that the processes within the patient access department are completed daily. This position will also work in the medical records department processing and maintaining patient charts. This position will work three weekends per month with various shifts.

Patient Access (Hospital Admissions) Responsibilities:

Obtains and accurately enters all required data elements for Revenue Cycle, including patient demographic, financial, guarantor information, admitting/presenting diagnosis, and relevant notes associated with the encounter.

Register/Admits patients efficiently as possible allowing for a positive overall patient experience.

Accurately identifies patient and associates them with their existing medical record or creatse a new one when it does not already exist.

Works according to standard operating procedure, including use of additional resource tools provided (e.g. AccuReg/Experian) and during HIS downtimes.

Responsible for communicating with patients regarding patient liabilities when due and collecting according to POS policy.

Performs Presumptive Eligibility as appropriate in accordance with state guidelines.

Refers patients for financial counseling, when appropriate.

Collects and documents all data required in the HIS to attain acceptable initial and final accuracy rates (refer to QA policy).

Completes insurance eligibility and verification of benefits and determines the need for and authorization/pre-certification for any non-scheduled, non-ED patients, or for patients who were not fully pre-registered and financially cleared (refer to pre-Revenue Cycle, authorization, insurance eligibility and benefits verification, and financial clearance policies).

Selects appropriate patient type based on the physician's order, department of service, and/or services required.

Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents. Knowledgeable of all related documents, including, but not limited to:

Hospital consent forms

Assignment of benefits

Financial Assistance Application

Advance Directive

Patient Rights

Ensures orders are received and are consistent with tests/procedures.Verifies eligibility and obtains necessary authorizations for services rendered.

Completes Medicare Secondary Payer Questionnaire.

Utilizes online eligibility

Obtains authorization/ verification of required insurance companies, including Medicare ABN

Meets with patients and/or authorized/legal family member(s) to obtain valid insurance coverage, if applicable, and/or review prior account information to obtain insurance coverage. Enters notes on the patient's account upon completion of the communication event.

Educates, screens, and assists patients who do not have valid insurance coverage to enroll in third-party eligibility programs.

Documents all calls, correspondence, and related activities to each patient's account in the correct place using appropriate tools and language.

Scans insurance(s) and photo identification to the correct patient medical record.

Must maintain open and positive written and verbal professional communication always

Health Information Management (Medical Records Management) Responsibilities:

Processes patient charts (prep, scan, and index) including off-site scanning support to clinic groups

Assists with scheduled chart pickup runs to nursing units

Acts as Receptionist for the Departmen

Escalates issues as needed

Maintains records and filing systems

Operates various office machines including printers, computers and various software packages

Qualifications:

High school diploma or GED

Successful completion of the core educational curriculum for Guidehouse Patient Access must be completed within six months of employment

Must have basic knowledge of medical terminology

Ability to read and comprehend in English

Demonstrate excellent customer service skills

Strong communication and organizational skils

Ability to apply principles of process improvement

Must be able to follow detailed instructions and perform repititious tasks

Computer/basic keyboard skills, telephone skills, and general knowledge of office machines including printers, fax, copier, scanner and credit card machings

Must complete annula Workplace Violence Preveniton Program Certificate per hospital polcy during initial training/orientation but not to exceed 30 days from hire/transfer

BLS Certified (facility required within three months of hire date)

Preferred:

Bilingual (English/Spanish).

Additional Requirements:
The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

Due to our contractual requirements, to be eligible for this role, you must be fully COVID-19 vaccinated at time of hire.

Disclaimer:
About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at (phone number removed) or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Rewards and Benefits

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.