Patient Administrative Specialist IV - Reimbursement Specialist

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Day - 08 Hour (United States of America)

The Patient Administrative Specialist IV is a flexibly staffed career ladder consists of five levels. Individuals are appointed to the appropriate level based on management's assessment of their job-related knowledge, competencies, education, experience, and other relevant considerations against the minimum qualifications for each level.
Essential Functions
The essential functions listed are typical examples of work performed by positions in this job classification, and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients' rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Working with care teams, patients, and outside facilities to obtain necessary information, diagnostic imaging, pathology, and other vital information required for care.
Assures appropriate verifications and authorizations are complete before patient sees provider, in addition to preparing patient medical records for clinic appointments.
Assists patients and physicians in scheduling ancillary tests before and after clinic visits.
Assists patients and physicians by scheduling treatment appointments for patients, including surgery, ITA, radiology, etc.
Ensures that all scheduled patients are eligible for services requested and /or determines patient eligibility.
Informs patient's authorization and collects payment for new and returning patients, using the scheduling system.
Coordinates care by scheduling, editing and maintaining routine patient physician appointments for new and returning patients.
Schedules complex appointments and surgeries requiring strong knowledge of procedures, department protocols and timing.
Functions independently to complete activities related to the registration process. Responsible for completeness, accuracy, and timeliness of data.
Documents patient liability and communicates this information to the patient, and appropriate staff.
Serves as resource to other staff in the area of registration, benefits, and authorization process.
Reviews and analyzes all registration edit reports, and ensures that corrections to the database are made in a timely fashion.
Maintains master appointment schedule. Schedules appointments in scheduling systems.
Maintains statistics and keeps the manager informed of clinic compliance to the registration standards.
Assists with requests where appropriate and Communicates with providers when necessary.
Serves as a subject matter expert for team members with questions about administrative tasks.
Provides continual evaluation of processes and procedures and suggests methods to improve them.
Escalates to Manager as appropriate.
Monitors daily clinic flow and assists Medical Assistants in relaying information to patients regarding delays.
Provides service recovery in real time.
Rescheduling and managing cancellation list and communicating schedule changes to patients.
Runs morning huddle in the absence of Manager and/or Clinical Operations Managers.
Assists clinical teams for Help Desk/IT resolution.

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies
and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirement

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.