Referral & Prior Auth Rep III

POSITION SUMMARY:Coordinates functions associated with visits to the Emergency Department. Monitor and ensure that all functions are completed in an accurate, efficient, and patient/customer friendly manner. Facilitate work flow in the department by supporting clinical staff.TYPICAL DUTIES:Reception and Registration:

Greets patients to initiate positive experience, requests patient identification, collects and verifies patient demographic and financial information. Initiates the ED medical/financial record; identifies forms needed for specific ED visit. Assemble ED charts for admissions and discharges; ensure all paperwork is completed and distributed appropriately. Performs duties and achieves and maintains proficiency in provision of excellent customer service, accuracy of data, and efficiency of work.

Performance Analysis:

Coordinate daily efforts to edit and correct registration and billing errors during full registration process. Identify ways to reduce follow-up, repetitive or corrective work. Utilize eRecord programs to facilitate work flow; manage patient tracking system ensuring correct location of patients within ED.

Training:

As designated preceptor, provide training to other EDAR staff on all aspects of department specific work including orientation to department and hospital, registration process and customer service. Acts as information resource for all departmental staff in regards to registration and work flow activities. Attend education programs for department at direction of supervisor and teaches other staff.

Financial Account Management:

Ensure that an accurate and complete full registration of the patient is completed prior to the discharge of the patient including insurance verification for new and self-pay patients. Follow up on hold bill report to facilitate reimbursement for Emergency Department services. Collect co-pays.

Customer Interaction:

Triage patient calls, assess the urgency of a situation and determine the appropriate action, serves as focal point for handling complaints. Answer incoming phone calls in communications center, routing calls as appropriate. Coordinate transportation for discharged or transferred patients as needed.

Other Duties:

Provide support for departmental activities including monitoring inventory of supplies and supply ordering. Perform other patient focused tasks, escorting patients, offering comfort items, witnessing consent signatures, fax charts, pull charts for QA audits or patient care follow up, manage and stock forms and supplies, and requests from clinical staff.

QUALIFICATIONS:

High School Diploma required.

1-year related work experience in an administrative office or customer service field; or an equivalent combination of education and experience required.

Medical terminology experience preferred.

Demonstrated ability to word process documents and enter data into a database preferred.

Demonstrated skills related to achievement of customer satisfaction preferred.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.How To ApplyAll applicants must apply online.EOE Minorities/Females/Protected Veterans/DisabledPay RangePay Range: $19.47 - $25.77 HourlyThe referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.Apply for Job

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Location: School of Medicine & Dentistry

Full/Part Time: Full-Time

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