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Northern Light Health #28941 - Patient Access Representative in Pittsfield, Maine

Northern Light Sebasticook Valley Hospital

Department: Patient Access Management

Position is located: 167 Leighton Street Office

Work Type: Full Time

FTE: 40 Hours per Week

Work Schedule:8:00 AM to 4:30 PM

Summary:

Reports directly to the Revenue Cycle manager and acts as a liaison between patients, patients' relatives, and the organization. Explains policies and procedures to patients and refers them to the proper services. Performs a variety of tasks such as switchboard operation, deposit preparation, petty cash reconciliation, charge entry and reconciliation, co-pay collection, patient registrations and authorizations/referrals.

Responsibilities:

• Able to manage multiple phone calls and operate the switchboard efficiently. • Register patients as they present themselves. • Performs pre-registration for various clinical departments. • May require charge entry and reconciliation. • Determine insurance eligibility, coverage levels, and billing requirements for patients. This requires the use of internet sites, computer links, and electronic data exchange software. • Collects payments and verifies demographics information. • Handles outgoing mail and schedules pickups for UPS and FED-EX. • Prepare a deposit as necessary. • Manage petty cash • Promotes customer service which meets and exceeds expectations of all customers. Creates an environment which enables others to act and inspires a shared vision. • Utilizes a continuous quality improvement (CQI) framework which includes the development and implementation of quality indicators and process improvement techniques. • Represents the organization and EMHS in all interactions with staff, patients and families, Medical Staff, other health care professionals, community organizations and the public. • Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends and legal requirements. • Participates in community and professional organizations and committees and also in internal committees and task forces. • Performs all other duties as assigned or requested.

Competencies and skills:

Essential:

  • Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.

  • Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.

  • Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.

  • Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.

  • Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.

  • Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

  • Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration.

Credentials:

Education:

Essential:

  • High School Diploma/General Educational Development (GED)

Working conditions:

Essential:

  • Potential exposure to diseases or infections.

  • Potential exposure to noise levels being uncomfortable.

  • Work with computers, typing, reading or writing.

  • Lifting, moving and loading less than 20 pounds.

  • Prolonged periods of sitting.

  • Prolonged periods of standing.

  • Prolonged periods of walking.

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