Preauthorization Registration Clerk

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:
• Licensure/Certification/Registration: N/A
• 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.
• 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.
• 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
• dust/fumes/

Gases
• unprotected

Heights
• moving

mechanical
parts
• CRT (computer)

Monitor
• potential

electric shock
• frequent,

repetitive motions
• x-ray electro-

magnetic
energy
• Other (as listed)
• high pitched

Noises
• needles or

other sharp
objects
VI. Physical Requirements: Constant: sitting, seeing, hearing, and finger dexterity. Constant concentration in fine details with frequent interruptions. Occasional: pushing, pulling, climbing, bending, stooping, twisting, using arm, leg and back muscles may be required. May be expected to lift less than 30 pounds. Manage stress appropriately, handle multiple priorities. Make decisions under stress. Work along and manage anger, fear, hostility and violence of others appropriately.
VII. Personal Protective Equipment: N/A
II. Performance Standards:
Rating Standard
U - Unacceptable Work performance is inadequate and inferior to the standards of performance required for the position. Performance at
this level cannot be allowed to continue.
IN - Improvement Needed Work performance does not consistently meet the standards of performance for the position. Serious effort is needed to
improve performance.
ME - Meets Expectations Work performance consistently meets the standards of performance for the position.
EE - Exceeds Expectations Work performance is consistently above the standard of performance for this position.
O - Outstanding Work performance is consistently superior to standards required for the job.
All Performance Standards are specific to the ages listed under Section IV - Ages of Patients Served.
90-Day
Circle rating standard
Comments
A. Technical Skills (Effectiveness with which the employee applies job knowledge and skill to job assignments)
• Job Knowledge

U IN ME EE O
• Analyzes Problems

U IN ME EE O
• Provides Suggestions for Work Improvement

U IN ME EE O
• Employs Tools of the Job Competently

U IN ME EE O
• Follows Proper Safety Procedures

U IN ME EE O
B. Customer Service Standards ( Employee’s Interaction with Customers Served)
• Provides excellent customer service to patients/family members/physicians deemed “our customers”

U IN ME EE O
• Introduces himself/herself to our customers and speaks with his/her eyes and voice

U IN ME EE O
• Performs as a team player

U IN ME EE O
• Treats our customers with respect and dignity; is considerate of our customers’ feelings

U IN ME EE O
• Protects the privacy of our customers

U IN ME EE O
• Is sensitive to the customer’s delays and wait times

U IN ME EE O
• Handles complaints without becoming defensive

U IN ME EE O
• Gives directions and assistance to our customers at all times

U IN ME EE O
• Acts in a professional manner

U IN ME EE O
C. Quality of Work (Manner in which the employee completes job assignments)
• Accuracy and Precision

U IN ME EE O
• Thoroughness and Neatness

U IN ME EE O
• Responsiveness to Requests or Assignments

U IN ME EE O
• Follow-Through / Follow-Up

U IN ME EE O
• Judgment / Decision Making

U IN ME EE O
D. Interpersonal Skills (Effectiveness of the employee’s interactions with others and as a team participant)
• With Co-workers

U IN ME EE O
• With Supervisors

U IN ME EE O
• Team Participation / Contributions

U IN ME EE O
• Commitment to Organization

U IN ME EE O
E. Communication Skills (if applicable to the job)
• Written Expression

U IN ME EE O
• Oral Expression

U IN ME EE O
• Shares Information Willingly

U IN ME EE O
• Tact and Diplomacy

U IN ME EE O
F. Approach to Work ( Characteristics the employee demonstrates while performing job assignments)
1. Actively Seeks Ways to Streamline Processes
U IN ME EE O
• Open to New Ideas and Approaches

U IN ME EE O
• Initiative

U IN ME EE O
• Planning and Organization

U IN ME EE O
• Flexible / Adaptable to Situations

U IN ME EE O
• Follows Instructions

U IN ME EE O
• Challenges Status Quo Processes in Appropriate Ways / Manner

U IN ME EE O
• Seeks Additional Training and Development

U IN ME EE O
• Attendance

U IN ME EE O
G. Quantity of Work (Employee’s success in producing the required amount of work)
• Ability to set Priorities

U IN ME EE O
• Amount of Work Completed

U IN ME EE O
• Work Completed on Schedule

U IN ME EE O
H. Workplace Safety ( Employee’s success in knowledge of workplace safety)
• Demonstrates knowledge of safety policies and

Issues
U IN ME EE O
• Completes Environment of Care training annually through orientation program

U IN ME EE O
• Works in a safe manner and complies with Macon County General Hospital safety and infection control policies and procedures

U IN ME EE O
I. Other
• Demonstrates Ethic’s Compliance and method of addressing ethical issues, i.e., CEO, Valuesline

U IN ME EE O
V. Core Competencies -- Annual Review
The knowledge and skills necessary to provide appropriate care for the age of the patient will be demonstrated upon employment for all topics/items and at least annually for topics/items that are deemed to be high risk, low volume or new. This will generally be established by observation and demonstration; however, seminar/educational program attendance written/verbal tests or other instructional methods approved by Department Director may also be used to determine competency. The Department Manager, Clinical Supervisor or their designees will serve as preceptors for observation and demonstrations. Criteria for evaluation may be referenced in departmental policies/procedures, standards of care and references/text.