Patient Administrator

JOB SUMMARY

The Patient Administrator provides excellent patient-focused care while performing accurate and timely

referral processing, scheduling and registration activities. The Patient Administrator is responsible for key

operational practices in the delivery of exceptional ambulatory healthcare. S/he performs necessary

registration, scheduling and payment collection functions upon each patient’s arrival and ensures data

inputs are accurate and precise for all phases of operations. The Patient Administrator is instrumental in

obtaining patient signatures and scans related documents / images into each patient’s EMR record, and is

responsible for engaging management in workflow improvements.

KEY ROLE ACCOUNTABILITIES

• Patient Registration - Performs accurate and complex registrations in ambulatory locations, with a goal

of exceeding service department expectations. Completes complex work queues and quality data

corrections assigned by management so that Revenue Cycle operations are not delayed.

• Identification - Consistently performs Patient Identification practices through the performance of

accurate medical record selection. Reports duplicate medical record numbers to management for

further investigation to support patient safety goals. Reviews and validates printed wristbands with each

patient and performs biometric validation.

• Confidentiality - Observes and maintains patient privacy and confidentiality during all Patient

Administration operations.

• Insurance Eligibility - Completes insurance pre-authorization eligibility successfully which may require

direct contact with the insurance company to support successful financial revenue results.

• Scanning Requirements - Accurately scans Patient Identification cards, Insurance Cards, Vaccine

Records, and Newborn Birth Certificates into the medical record to support patient safety goals and

successful financial revenues results. Ensures insurance information is updated and accurate for each visit.

• Signatures - Thoroughly explains all registration documents and captures patient signatures. Correctly

notates forms in instances where the patient signature is unobtainable. Notates when parental consent

is obtained over the telephone.

• Patient Experience - Utilizes the department in patient communications and interactions; in all telephone,

email and/or during face-to-face patient encounters.

• Scheduling Appointments - Accurately books multiple and complex appointments for patients in

accordance with hospital requirements. Upon booking each appointment, a pre-registration is required

so that finance, nurses and clinicians may complete workflow components prior to the patient’s next visit.

Thorough and correct entry of data and patient information which supports patient safety goals.

• Patient Point of Sale (PoS) Collections - Systematically processes in patient PoS collections and issues

receipts. Timely notification to Patient Administration management of any collection or deposit issues as

needed.

• Medical Necessity - Performs Medical Necessity and collects patient due as required supporting

successful revenue results. Escalates all medical necessity issues to the appropriate clinical delegate.

• Wristbands - Leads in consistently performing Patient Identification practices, including the application of

patient wristbands.

• Ethics - Adheres to standards as they appear in the Code of Conduct and Conflict of Interest

policies.

• Assists the Supervisor and Manager in the collection of information related to advanced research and

reports required by the department.

· Ensures select interpreters and preferred language for each patient. · Completes patient’s visit by scheduling any necessary follow up appointments. · Liaises between different support services to ensure patient needs are met (e.g. the laboratory, pharmacy, translation services). · Assists coworkers if required during busy periods and if capacity allows. · Being polite, compassionate, and understanding to patients and family members at all times. Complies with customer service standards to ensure patient needs are met. · Treats colleagues, patients, and visitors with dignity and respect at all times and promotes and maintains effective communication and teamwork. · Adheres to standards as they appear in the Code of Conduct and Conflict of Interest policies · Adheres to and promotes Values In view of the evolving needs and opportunities within , this position may be required to perform other duties as assigned and reporting relationships may vary.

Job Specific Skills.

Ability to learn the following applications and utilize on a daily basis: o Biometric Application for patient identification Workflow o Cerner Patient Management functions (Registration & Scheduling), o Radnet / Surginet o Powerchart Order Entry o PACs, Document scanning into pacs o Medical Necessity process o Finance Payment System Workflows and receipting o Scanning documents into the PEARL record o Ad Hoc Transport request process o SMS Appointment Reminder process o Patient Portal Registration practices o MOI Data Integration workflows o QNB Counterfeit bill process and equipment · Data Entry Accuracy · Medical Terminology Testing · Patient Experience Excellence · Good Organization · Time management skills · Proficiency with Microsoft Office suite · Fluency in written and spoken English