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Penn Medicine, University of Pennsylvania Health System · 1 day ago

Clinical Service Specialist (Part time, afternoon hours)

Lititz, PA

Part-time

Onsite

Entry Level

1+ years exp

Penn Medicine, a leading academic medical center, is dedicated to providing high-quality patient care, conducting innovative research, and educating future medical leaders. The Clinical Service Specialist role involves patient scheduling, registration, insurance verification, and assisting with non-licensed patient care under supervision. This position requires effective communication and coordination, particularly during high-volume periods.

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Responsibilities

Performs complete and accurate patient registration including but not limited to walk in, check-in, and or scheduled

Demonstrates ability to successfully adapt and perform during times of high volumes and or high patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary

Supports inbound and outbound calls to or from patients, guests, or appropriate parties as needed to provide services

Understands and supports Point of Service Collections. Performs all necessary functions needed to collect patient obligations

Refers patient to appropriate person for questions regarding; collections, insurance coverage, and financial assistance

Disseminates or discusses information with the patients regarding co-pays, out of pocket expenses, pre-appointment preparation, arrival times, etc

Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable tests

Understands insurance company coverage and referral authorization requirements of payors. Performs electronic and manual verification of insurance coverage and understands how to read and accurately apply electronic insurance responses

Prepares and or releases records or orders in the e-Health record. Scans all necessary documents into appropriate medical record. Understands the importance of patient’s medical information that is documented on paper. Sends all pertinent information to document imaging or heath information management team with in the established time frames

Completes documentation for compliance and regulatory needs and or release of orders

Retains knowledge and abides by all regulatory requirements pertaining to duties of position and overall operation of the Hospital as applicable

Screens and accurately relays messages using protocols established for emergent, urgent and non-urgent calls

Demonstrates ability to register unscheduled patients requiring a full financial clearance

Completes assigned patient scheduling and registration work queues according to performance standards

Ability to resolve work queue issues and missing registration items via electronic medical record

Completes cleaning tasks utilizing OSHA standards

Performs maintenance and or inventory of equipment and supplies according to unit department standards

Maintains appearance of patient care and public areas

Orders, stocks and distributes supplies to meet the needs of the unit department

Aware of cost containment practices and able to access need for changes in utilization

Greets and escorts patient and visitors to and from clinic exam room and prepares patient for visit with provider

Initiates patient visit follows up after visit when appropriate within scope and competency; following established standards

Prepares and assists provider with various procedures within scope and competency; following established guidelines

Maintains clinical skills necessary to perform duty job

Performs clinical functions as required, including any of the following: Phlebotomy, Pain Management, EKG’s, Holter Monitors, 24 hour Blood Pressure Monitoring, and Point of Care Testing if needed based on departmental needs

Qualification

Epic EMR experiencePatient registrationInsurance verificationPoint of service collectionsRevenue cycle experienceCustomer serviceData entryClerical skillsBasic keyboarding

Required

H.S. Diploma/GED (Required)

Completion of educational requirements (additional formal education training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training). (Required)

One (1) year prior experience of Revenue Cycle in a Hospital Medical Office Setting AND OR one (1) year administrative data entry experience in a medical facility, health insurance or business setting. (Required)

One (1) year of clerical, customer service, or administrative support experience in a highly customer-oriented organization.(Required)

One (1) year experience with basic keyboarding, personal computer use, and other office setting equipment.(Required)

A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.(Required)

Preferred

One (1) year of Epic (or equivalent Electronic Medical Record) experience.(Preferred)

One (1) year of registration experience, point of service collection, insurance validation, understanding of compliance regulatory guidelines and order release process(es).(Preferred)

Epic or equivalent Electronic Medical Record experience.(Preferred)

Benefits

Comprehensive compensation and benefits program

Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees