REPRESENTATIVE PATIENT ACCOUNTS

Representative Patient Accounts

Review all incoming referrals for completeness and accept or decline based on capacity restrictions.

Open communication with Clinical Managers and Directors regarding capacity and referral volume.

Update office staff at specified times of referrals that are pending for missing information.

Establish and maintain a professional and respectful working relationship with all referral sources.

Quality check work prior to end of shift to ensure all referrals have been generated and all orders submitted.

Process and enter declined referrals to remain in compliance with CMS guidance.

Customer focus on the needs and consider customer in decision-making process to ensure customer satisfaction.

Greet the customer in a polite and professional manner whether it is on the phone, or face to face.

Receive customer and or answer telephone calls for customer courteously, determine needs and respond appropriately.

Respond to customer issues (intradepartmental, interdepartmental and patient based) timely and to the satisfaction of the customer.

Motivate and influence and persuade others to build commitment.

Act as a role model for peers by striving for excellence, display a positive attitude and actively support the team concept.

Monitor and report on individual productivity to assist in the evaluation of one's ability to organize and plan daily work to meet outcome-based criteria set by Management.

Volunteer to work additional hours or offer to contribute to ongoing / special assignments outside the scope of their own specific functions.

Communicate and provide constructive feedback and clearly express ideas.

Communicate with lead or management all issues that impact the accurate, timely and complete accomplishment of all assigned tasks.

Identify and communicate to lead or manager recommendations for process improvement.

Document all accounts quickly and accurately to ensure a thorough record of actions taken and dispositions made.

Accept and incorporate changes into daily activities.

Conform consistently to all system changes; including Electronic Medical Record (MatrixCare), Ensocare, UPMC Care Transitions portal, Careport, etc.

Identify non-staff and inactive physicians and notify Medical Record Specialist.

Enter patient data in an accurate and legible manner.

Process referrals in a timely manner.

Enter information in a timely and accurate manner.

Occasionally work weekends.

Assist with receptionist duties when necessary.

Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level.

Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job.

Ability to think and concentrate for an entire shift.

Other duties as assigned.

Required Qualifications

• High School Diploma or GED, or higher level of education.
• Strong leadership ability, good organizational skills, independent and critical thinking skills, and sound judgment.
• Strong ability to communicate complex and / or controversial topics and concepts to a wide and diverse audience.

Preferred Qualifications

License, Certification & Clearances

Supervisory Responsibilities

Position Type / Expected Hours of Work

LEAN

AAP / EEO

Effective March 2020 or during pandemic : goggles, face shield and mask are required according to CDC guidelines

When lift requirement is in excess of 50#, lift assistance (2 person) and / or transfer device is required.

Essential Absolute Necessity.

Marginal Minimal Necessity.

Constantly 5.5 to 8 hours or more or 200 reps / shift.

Frequently 2.5 to 5.5 hours or more or 32-200 reps / shift.

Occasionally 0.25 to 2.5 hours or 2-32 reps / shift.

Rarely Less than 0.25 hours or less than 2 reps / shift.

Physical Condition

Essential

Marginal

Constantly

Frequently

Occasionally

Rarely

Never

Extreme Heat

Extreme Cold

Heights

Confined Spaces

Extreme Noise(>

85dB)

Mechanical Hazards

Use of Vibrating Tools

Operates Vehicle (Company)

Operates Heavy Equipment

Use of Lifting / Transfer Devices

Rotates All Shifts

8 Hours Shifts

10-12 Hours Shifts

On-Call

Overtime (+8 / hrs / shift; 40 / hr / wk)

Travel Between Sites

Direct Patient Care

Respirator Protective Equipment

Eye Protection

Head Protection (hard hat)

Hearing Protection

Hand Protection

Feet, Toe Protection

Body Protection

Latex Exposure

Solvent Exposure

Paint (direct use) Exposure

Dust (sanding) Exposure

Ethylene Oxide Exposure

Cytotoxic (Chemo) Exposure

Blood / Body