Preauthorization Registration Clerk

Job Description

Job Description

MACON COMMUNITY HOSPITAL

Position Description

Department Name: Business Office

Employee Name:

Job Title: Preauthorization Registration Clerk

Effective Date:

Reports to (Title): PFS Director

Supervises: None

(Positions)

I have reviewed these job requirements and verify that I can perform all essential functions of this position. I understand that information regarding patients at this facility is confidential and is not to be disclosed without written authorization of the patient or authorized representative. I will discuss patient’s information only in the course of my duties and never in open areas such as hallways, snack bar, etc., where it might be overheard by visitors or other patients, or outside of the hospital while off duty. I also understand that information in some patient’s records may be governed by federal regulation and that disclosure of such information is punishable by fine or imprisonment, even after I leave the employment of the facility. I certify that I have completed HIPAA training and will honor all policies and procedures. I understand that violations of these policies and procedures may result in sanctions. I agree to abide by all local, state and federal laws.

Employee Signature Date:

I. Position Summary: The Authorization Registration Clerk projects the professional, caring image while performing all job duties, including but not limited to obtaining completed orders and preauthorization's, scheduling patients, and registering patients for admission or outpatient procedures. Responsible for ensuring that all phases of the admission process (interviews, pre-admissions, precertification and collection of pre-pays) are completed in an accurate and timely manner to guarantee: (1) that maximum collection is achieved; (2) preclude any claims denials; and (3) that all processes are conducted according to state, federal, and hospital regulations. Provides patients with directions (that can be clearly understood) to departments where treatment will be rendered or personally transports patients if needed. Under supervision of a licensed staff member, performs a variety of duties to support the PM&R functions related to cleanliness, maintenance/upkeep, and equipment management, activities to ensure processes are meeting the intended goal/outcome, to identify opportunities for improvement, and to be accountable for the quality of care provided in their respective area.

II. Position Requirements:

1. Licensure/Certification/Registration: N/A

1. Education: High school diploma or general education degree (GED); or six months to one year related experience and/or training or equivalent combination of education and experience preferably in hospital setting is preferred.

1. Experience: Prior experience working in a medical facility admitting office. Experience in interacting with customers/patients in a service oriented setting is a must. Previous data entry experience is helpful.

1. Special qualifications: Knowledge of medical terminology preferred. Basic clerical skills; minimum speed 20 wpm with no errors. Basic experience with office equipment (telephone, copy machine, fax). Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to effectively present information to customers, clients and other employees of the organization. Ability to work well under pressure.

III. Degree of Supervision Required: Minimum; incumbent must be able to work very well on their own.

IV. Ages of Patients Served: This position has no responsibility to treat or care for patients.

This position requires competence in assessment, treatment, and/or care for the age groups indicated. The staff member must be able to demonstrate the knowledge and skills necessary to provide care, based on physical, educational, safety, and related criteria, appropriate to the age of the patients served in his/her assigned service area. The skills and knowledge needed to provide such care may be gained through education, training, or experience.

Birth - 1 Year

Infant

2-12 Years

Pediatric

13-18 Years

Adolescent

19-69 Years

Adult

70>

Geriatric

N/A

No responsibility to treat or care for patients

V. Working Conditions:

Hospital rooms, common areas, clinical departments and hospital grounds. Potential hazards include:

Exposure to

None

Some

Frequent

Very Frequent

Exposure to

None

Some

Frequent

Very Frequent

• toxic/caustic

chemicals

• blood or body

Fluids

• extreme

conditions,

hot or cold

• communicable

Diseases