HRJD.080 SSHPI Patient Representative I

HRJD.080 SSHPI Patient Representative I

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HUMAN RESOURCES JOB DESCRIPTIONS / SSH Precision Imaging

SUBJECT: Admission ClerkHRJD.102

JOB DESCRIPTION

Authorization ClerkStanislaus Surgical Hospital Precision Imaging

Department: / SSH PI
Reports to: / Admissions and Medical Records Supervisor

Job Summary:

  1. Coordinates with physician offices to verify that all necessary insurance authorizations are received for Imaging Services at SSH-PI

Job Duties:

  1. Works with Office Manager on patient questions and issues.
  2. Works off the Authorization worklist in Ramsoft daily and keeps list to a minimum.
  3. Help out in other departments when needed
  4. Keep area clean and organized
  5. Keep schedule full without gaps.
  6. Back up Medical Records Department for incoming calls.
  7. Input all patient demographics information in all computer systems
  8. Review all Imaging procedures ordered on a daily basis on Authorization worklist in Ramsoft to verify if we have necessary authorizations.
  9. Review the following with patients:
  10. Verification of demographics
  11. Verification of insurance and benefits
  12. Performs other job duties as they are assigned

Physical Requirements:

For the purpose of the American Disability Act (ADA), this position has been assessed to identify essential and marginal functions. Tasks listed below are considered to be essential functions of the job. Reasonable accommodations may be made for individuals with qualifying disabilities in order to perform the essential function of the job.

  1. Work Position
  1. Sitting90% or more
  2. Standing5% or more
  3. Walking5% or more
  1. Body Movements
  1. Lifting/Carrying up to 20lbsFrequency, less than 15%
  2. Bending and stoopingFrequency, less than 25%
  3. Hand grip, wrist and digital dexterityFrequency, 60%
  1. Speaking, hearing and visual acuity to receive and interpret instructions
  2. Verbal and written English communication skills
  3. Mathematical and reasoning Skills
  4. Normal vision range. Ability to distinguish letters, numbers and symbols
  5. Requires the use of office equipment, such as computer, telephones, photocopier, and scanner and FAX Machine

JOB SPECIFICATIONS

Education:

High School Diploma or equivalent

Experience and Skills:

  1. Minimum of 3 years in admitting for health care organization
  2. Minimum of 2 years insurance verification and authorizations
  3. Familiar with CPT, HCPCS, ICD 9 and DRG codes
  4. Able to read and understand insurance payer contracts
  5. Professional appearance
  6. Use of proper grammar and spelling
  7. Excellent Communication skills
  8. Excellent Customer Service skills
  9. Dependable
  10. Excellent Organization skills

Employee Signature / Date

Original Date: 28-Feb-08[8]

Revised/Approved K.Wynn, HR Director: 7-28-16Revised by: Debbie Martin, Director Of Patient ServicesLast saved: 7/28/2016 10:32:00 AM Last saved by Terry Renner

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