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Clinical Positions

RN OR Circulator (Full-Time, and PRN - $10,000 sign on bonus for FT)

GENERAL SUMMARY

The RN Circulator manages all the necessary care inside the surgery room, assisting the team in maintaining and creating a comfortable, safe environment for the patient and observing the team from a wide perspective. Serves as a liaison between surgeons, anesthesiologists, O.R. Manager and staff. Ensures all surgical team members perform in a unified effort. Serves as a patient advocate. Responsible for the smooth and uneventful intraoperative care.

DUTIES AND RESPONSIBILITIES

Policies

  • Reports to work as scheduled (Attendance, Punctuality, etc.)
  • Clocks self in and out on time clock correctly.
  • Uses correct procedure for notification of illness.
  • Seeks approval from OR manager for any unscheduled overtime.
  • Cooperates when the work schedule must be altered.
  • Adheres to appropriate dress code for area.
  • Maintains personal hygiene and cleanliness.
  • Adheres to aseptic technique.
  • Completes annual competency update.
  • Provides OR manager with verification of yearly requirements (TB test, annual physical and blood work).
  • Adheres to CPSH Policies and Procedures.
  • Maintains patient’s safety at all times.
  • Wears ID name card so name and title are clearly visible at all times.
  • Attends mandatory In service Education Classes
  • Views required educational films, annually (TB, Hepatitis, Infection Control, Hospital Safety, Back Tips, Fire & Electrical)
  • Provides OR manager with professional license verification on an annual basis prior to December 31 of expiration year.

Nursing Processes

  • Utilizes assessment skills and tools to identify problems, needs and intervention.
  • Recognizes patient’s and family’s need for instructions and initiates appropriate action.
  • Sets priorities for action, based on problem-solving process, common sense, and meeting patient care priorities.
  • Recognizes and responds appropriately to signs, symptoms of health threatening changes and reports abnormal results of diagnostic studies to appropriate physician.
  • Utilizes work assignment to develop special abilities of individuals and meet special needs of patients/significant others.
  • Participates in reviewing and revising quality assurance improvement criteria and/or standards of care.
  • Ensures patient safety through the utilization of accurate assessment, critical thinking, expert evaluation and skillful clinical judgment

Clinical Skills

  • Completes unit specific Nurse Competency Checklist on a yearly basis.
  • Obtains a medical history through interview of patient or family members with pertinent information documented and communicated to surgeon and/or Anesthesiologist.
  • Administers parenteral therapy and blood and blood products according to Policy.
  • Administers medications according to CPSH Policy.
  • Carries out physician’s orders accurately, clarifying unclear orders.
  • Performs treatments and procedures according to CPSH Policy.
  • Cost effectively maintains adequate supplies and equipment in appropriate working condition.
  • Initiates and carries out appropriate emergency procedures.
  • Initiates nurse-physician communication as appropriate.
  • Maintains a clean, safe, and quite environment for patients, as well as other personnel.
  • Utilizes sound nursing judgment as evidence by ability to provide rationale for decisions made.
  • Demonstrates skills in organization: Accurately anticipates needs of surgical team by timely availability of needed supplies and equipment.
  • Provides for patient privacy and confidentiality at all times, allows patient dignity to be maintained.
  • Recognizes potential benefits of selected new products and discusses with OR manager possible acquisition for use.
  • Documents, in writing the specific actions during codes and conveys this information to O.R. Manger.
  • Serves as resource person for updating or improving patient care practices.
  • Assists in facilitating patient-physician-nurse communication process.
  • Serves as preceptor in orientation of new employees.
  • Assumes leadership role, acting as a role model especially in crisis situations.
  • Assists in development and implementation of departmental goals.
  • Possesses a working knowledge of equipment used in the O.R., as demonstrated by completing competency checklist.
  • Assists in maintenance, care, and cleanliness of supplies – cost effectively maintains adequate supplies and equipment in appropriate working condition with proper documentation.
  • Reports damaged instruments to the OR manager and follows proper procedure for damaged instruments and/or equipment.
  • Assist the OR manager in obtaining the supplies, equipment, etc. necessary to do the scheduled cases.

Documentation

  • Uses full name and title in all signatures, as delineated in the CPSH Policy and Procedure Manual.
  • Uses CPSH approved abbreviations.
  • Documents information in chronological order, at the time of the event or observations, with time and date included.
  • Documents and signs those events personally performed or observed.
  • Actively participates in daily narcotic drug counts and documents appropriately.
  • Actively participates in daily refrigerator temperature and defibrillator check and documents appropriately.
  • Documents in a clear, concise, accurate, and legible manner.
  • Documents the necessary information to communicate the patient’s progress based on the established plan of care.
  • Selects and initiates appropriate forms at appropriate time(s).
  • Reviews and implements changes in physician’s orders throughout patient care.
  • Assists with the change process involved in implementing new forms within the O.R. Department.

Interpersonal Relations

  • Maintains a positive and professional attitude at all times, works cooperatively and effectively with all members of health care team.
  • Communicates staff performance to unit manager.
  • Communicates patient issues and/or problems to Unit Manager and/or Director of Nursing.
  • Communicates change and implements change cooperatively.
  • Communicates with physicians, unit personnel and other departments in a courteous and professional manner.
  • Discusses problems or complaints with O.R. Manager, following proper chain of command.
  • Accepts constructive criticism from the OR manager and Administration.
  • Identifies when coworkers need assistance and cooperates willingly with coworkers in completing heavy work assignments.
  • Identifies need for change and contributes possible solutions to implement change to O.R. Manger.
  • Seeks ways to improve learning experiences for unit personnel and new employees.
  • Communicates with scheduling desk by giving updated information concerning changes made within the daily surgery schedule.

Professional Development

  • Completes written self-evaluation two weeks prior to annual date and submits for review with O.R. Manger.
  • Attends and participates in mandatory in services and unit meetings.
  • Reads and initials new policies and procedures, unit meeting minutes, and memorandums.
  • Shares unit staff information gained at workshops attended and participates in educational planning.
  • Conducts, participates in, or coordinates one unit in service per year based on learning needs of unit.
  • Demonstrates continued professional growth through participation in professional organization, continuing formal education, area certification, etc.
  • Utilizes current health care literature made available by facility on a regular basis.

VI. PERFORMS OTHER RELATED DUTIES AS ASSIGNED

May assist Director of the OR and CNO when needed

VII. ADA COMPLIANCE

1. Essential Duties of a Position: The essential duties of a position are defined by ADA as job duties that are so fundamental to the position that the individual cannot do the job without being able to perform them. A function is considered to be essential if the performance of this function is the reason the job exists, there are a limited number of other employees who could perform the function, or if the function is specialized and the incumbent is hired on the basis of his or her skill/ability to perform the function.

2. Employer’s Judgment: ADA gives consideration to the employer’s judgment as to what functions of a position are essential. A written job description is considered evidence of the essential duties of the position and should be developed before advertising or interviewing applicants for the position.

3. Reasonable Accommodation: ADA requires employers to provide reasonable accommodation to qualified individuals with disabilities who are employees or applicants for employment unless this would cause an undue hardship. The employee still has his or her responsibility to be able to perform the essential duties of the position. “Undue Hardship” means significant difficulty or expertise would be incurred and focuses on the resources and overall circumstances of the employer in terms of the cost or difficulty in providing a specific accommodation.

VII. CORPORATE COMPLIANCE RESPONSIBILITIES

  • CPSH employees will adhere to compliance standards as they appear in CPSH Compliance Policy, Code of Conduct and Conflict of Interest Policy.
  • CPSH will Keep abreast of all pertinent federal, state and CPSH regulations, laws, and policies as they presently exist and as they change or are modified.
  • CPSH ensures that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.
  • Other duties as assigned/ required. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.

The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • Graduation from an accredited nursing program and at least one (2) years of recent experience as an O.R. Nurse (RN)
  • Unrestricted Registered Nurse license issued by the Louisiana State Board of Nursing
  • Current BLS, PALS, ACLS through the American Heart Association
  • Successful completion of orientation and demonstration of competence.
Surgical Tech (PRN)

GENERAL SUMMARY

Assists the surgeon as a scrub technician; assists the circulating nurse; assists in general housekeeping duties of the OR and maintenance of equipment and instruments. Anticipates the needs of the surgical team. Establishes and maintains sterile field during surgical procedures in the operating room. Reporting Relationship: Reports to RN in OR Room and OR Charge RN on a daily basis.

DUTIES AND RESPONSIBILITIES

  • Ensures sterility of all supplies and instruments during set up of surgical procedures.
  • Assists circulating nurse and surgical team in maintaining sterile environment.
  • Assists circulating nurse in gathering necessary surgical supplies and equipment. Is responsible for doing sponge, needle, and instrument count pre-operatively and intra-operative with the circulating nurse.
  • Gowns and gloves surgeons and assistants.
  • Assists in keeping physician preference cards accurate/updated.
  • Retains all specimens to be sent to pathology, confirming source/name of specimen with surgeon.
  • Transports all surgical equipment to appropriate cleaning areas.
  • Assists in sterile supply with cleaning and reprocessing of instrument sets.
  • Interacts appropriately and effectively with all patients/others regardless of age or ethnic background.
  • Uses Standard Universal Precautions, appropriate hand hygiene, personal protective equipment, and safe practices to ensure personal safety and a safe environment.
  • Assists with environmental hazard and infection control surveillance and participates in emergency preparedness drills.
  • Follows all equipment and safety guidelines and is responsible for knowledgeable use and care of equipment.
  • Serves as a resource to other members of the health care team.

Nursing Processes

  • Assists physicians as a sterile member of the operating room team.
  • Maintains awareness to prevent surgical harm or injury to patient.
  • Exhibits interest in surgical nursing procedures.
  • Prepares medication under the supervision of the R.N. in charge of the case.
  • Maintains proper body mechanics while turning, lifting, bending, stretching, walking and standing.
  • Performs duties designated by the Director of Surgical Services or charge nurse.

Clinical Skills

  • Demonstrates a consistent high degree of accuracy in the accomplishments of daily activities.
  • Possesses knowledge of surgical procedures.
  • Possesses a working knowledge of equipment used in the operating room.
  • Assists professional nursing staff by scrubbing on all types of surgery cases.
  • Participates in providing and presenting educational instruction on existing and newly acquired equipment and instruments.
  • Cost effectively maintains adequate supplies and equipment in appropriate working condition.
  • Maintains quality of surgical instruments through proper maintenance, cleaning, lubricating, sterilization, utilization, and storage according to the manufacturers specifications.
  • Maintains a clean, safe, environment for processing sterile supplies.
  • Responsible for decontamination procedure on all instruments and equipment.
  • Reports damaged instruments to Director of Surgical Services and follows proper procedure for damaged instrument and/or equipment.
  • Other duties as assigned/ required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • Satisfactory completion of an accredited program for surgical technology and/or an acquired knowledge of surgical instrumentation and sterile technique from experience. Acquired knowledge and skills performance is evaluated during the orientation period and employment is contingent upon satisfactory results.
  • Current BLS required, PALS and ACLS preferred. Must be through the American Heart Association.
Registered Nurse – PACU (PRN)

GENERAL SUMMARY

Responsible for smooth and uneventful postoperative care. Assists in general housekeeping duties and maintenance and care of equipment. Employee is responsible for making sure that the Postoperative experience is efficient, clinically correct and that all patient needs and understanding of the post-operative process are relayed to the patient.

DUTIES AND RESPONSIBILITIES

  • Utilizes assessment skills and tools to identify problems, needs and intervention.
  • Recognizes patients and families need for instructions and initiates appropriate action.
  • Sets priorities for action, based on problem-solving process, common sense, and meeting patient care priorities.
  • Recognizes health threatening changes in signs, symptoms, and results of diagnostic studies, responding appropriately.
  • Utilizes work assignment to develop special abilities of individuals and meet special needs of patients/significant others.
  • Participates in reviewing and revising quality assurance improvement criteria and/or standards of care.
  • Completes PACU Nurse Competency Orientation Checklist.
  • Administers parenteral therapy and blood and blood products according to Nursing Service Policies.
  • Administers medications according to CPSH Nursing Policies.
  • Carries out physician's orders accurately and questions unclear orders.
  • Performs treatments and procedures according to CPSH Nursing Policies.
  • Cost effectively maintains adequate supplies and equipment in appropriate working condition.
  • Initiates and carries out appropriate emergency procedures.
  • Initiates nurse-physician communication as appropriate.
  • Maintains a clean, safe, and quiet environment for patients as well as other personnel.
  • Utilizes sound nursing judgment as evidenced by ability to provide rationale for decisions made.
  • Detects early signs and symptoms of postoperative complications and report observations promptly to proper physician.
  • Provides for patient privacy and confidentiality at all times, allows patient dignity to be maintained.
  • Provides postoperative teaching to patient and significant family member with proper documentation.
  • Recognizes potential benefits of selected new products and discusses with Pre-op/PACU lead for possible acquisition for use.
  • Documents in writing the specifics of performance during codes and conveys this information to Pre-op/PACU lead.
  • Serves as resource person for updating or improving patient care practices.
  • Assists in facilitating patient-physician-nurse communication process.
  • Serves as preceptor in orientation of new employees.
  • Assumes leadership role, acting as a role model especially in crisis situations.
  • Assists in development and implementation of departmental goals.
  • Possesses a working knowledge of equipment used PACU.
  • Assists in maintenance care and cleanliness of supplies - cost effectively maintains adequate supplies and equipment in appropriate working condition with proper documentation.
  • Reports damaged instruments/equipment to the Pre-op/PACU Lead and follows proper procedure for damaged instruments and/or equipment.
  • Documents in a clear, concise, accurate, and legible manner.
  • Documents all the necessary information to communicate the patient's progress based on the established plan of care.
  • Selects and initiates appropriate forms at appropriate time(s).
  • Reviews and implements changes in physician's orders throughout patient care.
  • Discuss problems or complaints with Pre-op/PACU Lead, following proper chain of command.
  • Accepts constructive criticism from the Pre-op/PACU Lead and Administration.
  • Accepts the responsibility when designated as charge nurse utilizing the unit's "Charge Nurse Job Description" as a guideline.
  • Other duties as assigned/ required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • Graduation from an accredited nursing program and a valid Registered Nurse license issued by the Louisiana State Board of Nursing.
  • Must have current BLS through the American Heart Association. PALS, ACLS preferred or obtain within six (6) months.
  • 1 year of PACU experience preferred.
Respiratory Therapist (Full-Time and PRN - $5,000 sign on bonus for FT)

GENERAL SUMMARY

Respiratory Therapist provides treatment, care and evaluation for patients with respiratory insufficiencies. May have to follow orders by the physician. Coordinates care with other disciplines such as physical therapy, respiratory therapy, lab and pharmacy. Responsible to participate in a professional manner in all aspects of patient care and supervision of RN staff.

DUTIES AND RESPONSIBILITIES

  • Delivers and assesses responses to ordered therapy per plan of care including routine and intensive therapy and diagnostic procedures.
  • Utilizes various types of oxygen and other therapeutic gas equipment such as masks, tents and incubators.
  • Administers prescribed doses of medicinal gases and aerosol drugs.
  • Measures ventilator volumes, pressures and blood gas analysis.
  • Monitors, records, and communicates patient condition and general acceptance of treatment.
  • Performs a variety of duties related to setting up, operating, cleaning, sterilizing, and storing respiratory therapy equipment.
  • Responds to emergency team calls.
  • Educates patients and family members and provides information about community support groups and other available programs.
  • Provides age and culturally appropriate care.
  • Follows Standard Precautions using personal protective equipment as required.
  • Explains medications in criteria. Ensures that patients understand post-operative instructions.
  • Checks identification of patient, including surgical permit, lab work, x-ray reports, and allergies.
  • Reports any change in physical status of patient.
  • Completes all documentation per Policies and Procedures.
  • Supervises nursing care given to patients.
  • Safely assist patients with any request
  • Performs treatment and procedures according to CPSH policy
  • Ambulate patients as needed
  • Perform clerical duties as needed
  • Assist the CNA and registered nurse with patient needs
  • Other duties as assigned/ required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • CRTT or RRT.
  • Louisiana state licensure.
  • Current BLS through American Heart Association required
  • Current PALS and ACLS preferred
  • Graduate of Respiratory Care program accredited
  • Minimum of one year of experience in a hospital acute care setting required
  • Pediatric or NICU experience preferred
Revenue Cycle Director

GENERAL SUMMARY

The Revenue Cycle Director is responsible for the overall policies and operations of patient access, patient financial services, revenue integrity, and customer service. Responsibilities include identifying patient reimbursement issues, flow of collections, billing, records, and insurance reconciliation, ensuring that claims, denials, and appeals are efficiently processed, and resolving billing-related issues. In addition, works with CFO, CCO, Case Management, Materials Management Director and HIM Director to develop sound revenue cycle processes and reporting for elective surgical cases to ensure an effective clinical revenue cycle.

DUTIES AND RESPONSIBILITIES

  • Manage all day-to-day activities for the business office including billing, collections, patient registration, scheduling, and insurance verification.
  • Oversees daily functioning of all operational systems, including CPSI.
  • Ensures implementation and adherence of policies and procedures for the daily operations of the revenue cycle department to ensure that accurate billing information is entered into the billing system.
  • Supervises the revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis and billing.
  • Establishes plans and structure departmental workflow and staffing related to patient satisfaction.
  • Conducts or coordinates regular office staff meetings when necessary to remedy patient accounts.
  • Identifies needs and assists supervisors and clerks with planning of continuing education for issues related to PFS.
  • Manages relations with payers and providers to generate high reimbursement rates and low level of denials.
  • Documents performance and prepares management information for the CFO.
  • Manages Staff performance and keeps CFO informed by providing regular feedback.
  • Informs and works with the CFO to solve problems related to billing, collections and EOB reporting.
  • Meets with CFO and CPSH team members to assess, plan, implement and evaluate programs and processes to increase the efficiency and effectiveness of the business operations at CPSH.
  • Collects data and maintains reports of operational expenses as well as routine statistics for CPSH.
  • Promotes, builds and ensures positive customer/patient relationships at all levels within the hospital.
  • Reviews and creates processes surrounding admissions, billing, collections, third party payor relations and compliance.
  • Ensures tracking mechanisms surround coding errors and billing turnaround times.
  • Updates CFO of significant activities.
  • Deals discretely with sensitive, confidential information concerning staff performance and CPSH/Patient operations.
  • Assesses and resolves all third party payer and patient billing issues using appropriate resources within CPSH.
  • Delegates and prioritizes daily work activities of the admissions, insurance and billing staff
  • Assist CFO when needed.
  • Other duties as assigned/ required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • Bachelor’s degree in a related field, with 2 years or related experience or five + (5) years of recent hospital registration, insurance and business office experience. Management experience preferred.
Pre-OP RN (PRN)

GENERAL SUMMARY

Responsible for smooth and uneventful preoperative care. Assists in general housekeeping duties and maintenance and care of equipment. Employee is responsible for making sure that the pre-operative experience is efficient, clinically correct and that all patient needs and understanding of the operative process are relayed to the patient.

DUTIES AND RESPONSIBILITIES

  • Utilizes assessment skills and tools to identify problems, needs and intervention.
  • Recognizes patients and families need for instructions and initiates appropriate action.
  • Sets priorities for action, based on problem-solving process, common sense, and meeting patient care priorities.
  • Recognizes health threatening changes in signs, symptoms, and results of diagnostic studies, responding appropriately.
  • Utilizes work assignment to develop special abilities of individuals and meet special needs of patients/significant others.
  • Participates in reviewing and revising quality assurance improvement criteria and/or standards of care.
  • Completes PreOp Nurse Competency Checklist.
  • Obtains a thorough medical history through interview of patient or family members with pertinent information documented and communicated to surgeon and/or Anesthesiologist.
  • Administers parenteral therapy and blood and blood products according to Nursing Service Policies.
  • Administers medications according to CPSH Nursing Policies.
  • Carries out physician's orders accurately and questions unclear orders.
  • Participates in bedside procedures as necessary after conducting an appropriate time out.
  • Performs treatments and procedures according to CPSH Nursing Policies.
  • Cost effectively maintains adequate supplies and equipment in appropriate working condition.
  • Initiates and carries out appropriate emergency procedures.
  • Initiates nurse-physician communication as appropriate.
  • Maintains a clean, safe, and quiet environment for patients as well as other personnel.
  • Utilizes sound nursing judgment as evidenced by ability to provide rationale for decisions made.
  • Detects early signs and symptoms of preoperative complications and report observations promptly to proper physician.
  • Provides for patient privacy and confidentiality at all times, allows patient dignity to be maintained.
  • Provides preoperative, postoperative phase 2 teaching to patient and significant family member with proper documentation.
  • Recognizes potential benefits of selected new products and discusses with Pre-op/PACU Lead for possible acquisition for use.
  • Documents in writing the specifics of performance during codes and conveys this information to Pre-op/PACU lead.
  • Serves as resource person for updating or improving patient care practices.
  • Assists in facilitating patient-physician-nurse communication process.
  • Serves as preceptor in orientation of new employees.
  • Assumes leadership role, acting as a role model especially in crisis situations.
  • Assists in development and implementation of departmental goals.
  • Possesses a working knowledge of equipment used in the Pre-op and PACU.
  • Assists in maintenance care and cleanliness of supplies - cost effectively maintains adequate supplies and equipment in appropriate working condition with proper documentation.
  • Reports damaged instruments to the Pre-op/PACU Lead and follows proper procedure for damaged instruments and/or equipment.
  • Documents all the necessary information to communicate the patient's progress based on the established plan of care.
  • Selects and initiates appropriate forms at appropriate time(s).
  • Reviews and implements changes in physician's orders throughout patient care.
  • Accepts the responsibility when designated as charge nurse utilizing the unit's "Charge Nurse Job Description" as a guideline.
  • Other duties as assigned/ required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • Graduation from an accredited nursing program and a valid Registered Nurse license issued by the Louisiana State Board of Nursing
  • Must have current BLS through the American Heart Association
  • ACLS and PALS must be obtained within six (6) months
  • 1 year experience preferred
Collections Specialist (Full Time)

GENERAL SUMMARY

The Collections Specialist is responsible for part of the Accounts Receivable Process for the Billing Office at CPSH, particularly Collections. This includes demographic entry, claims transmission, customer service, documentation, collections, and accounts receivable follow-up. This position is responsible for resolution of patient accounts by obtaining insurance billing, reimbursement, and continually staying abreast of delinquent accounts. Duties are performed in coordination with other Billing/Collections Staff, especially the CFO and the Director Patient Financial Services.

DUTIES AND RESPONSIBILITIES

  • Demonstrate daily in all job functions and interactions with patients, customers, coworkers, Managers, and physicians the mission and Standards of Behavior of Cypress Pointe Surgical Hospital.
  • Perform job duties professionally, consistently, and effectively to maintain and/or exceed assigned goals to support the success of the department and Cypress Pointe Surgical Hospital.
  • Daily support Management and coworkers in a positive manner demonstrated verbally and by actions.
  • Resolve patient accounts, via telephone calls, written correspondence and walk-ins within 48 hours.
  • Within 48 hours, responds to telephone and written inquiries from patients, physician offices and insurance companies promptly and courteously.
  • When necessary, obtain Insurance information and add appropriate carrier/plan information, ensuring that all steps have been completed so that proper billing, follow up and reimbursements can be obtained.
  • Continue working knowledge of hospital contracts and how they relate to the reimbursement of charges.
  • Explain patient accounts to them in terms that they can understand, attempt to peacefully resolve complaints of problem accounts within 48 hours.
  • Must work the agreed number of patient accounts given by Patient Financial Services Management Team by working the accounts by collection methods and follow up on outstanding insurance, patient balances and private pay accounts assigned.
  • Work accounts by collection methods and follow up on outstanding insurance, patient balances and private pay accounts assigned.
  • Make financial agreements, per the payment plan policy, including but not limited to employee payroll deduction as well as the ability to make monetary collections.
  • Sorts and delivers outgoing mail and other mail for the Patient Financial Services Department.
  • Process, compile paperwork and mail refund checks weekly.
  • Research and write up account adjustments on the proper adjustment form and route for the appropriate signatures of authorization, as outlined in the adjustment policy.
  • Reconcile credit balances, including but not limited to the refunds when necessary.
  • Call patients to obtain financial information, insurance information and discussing status of accounts when necessary.
  • He/she must be a positive role model for other staff members and patients by working with them to promote teamwork and cooperation.
  • Responsible for routing denials on the Explanation of Benefits to the Revenue Integrity Lead for follow-up.
  • Document daily in notes all information or activities that pertain to the account.
  • Must be able to accept constructive criticism and integrate suggestions in effective ways.
  • Maintain confidentiality and adhere to HIPPA Compliance on a daily basis.
  • Routinely audit and evaluate the processes, errors identified, etc. to develop a plan to continuously keep the process of adjustments and account demographics accurate to ensure proper collection of revenue.
  • Must be able to handle potentially stressful situations and handle multiple tasks at one time.
  • Attend all in-services and trainings.
  • Notify Management of critical issues within department.
  • Complete all education assigned.
  • Assist with the training of other departmental staff.
  • Assist in processing mail for department.
  • Provide patients and insurance companies with COIB upon request.
  • Contact Medicaid, Medicare, Commercial Insurances and or third party payers for status of claims.
  • Help to resolve problems in the admissions area according the hospital policy.
  • Work reports as assigned by Management within the set time frames and accurately.
  • Transfer patient balance daily after insurance pays and or denies deemed appropriately.
  • Call or write patients, insurance companies and employers for additional information needed to process claims when necessary.
  • Work with Revenue Integrity Lead and the Director of Patient Financial Services on a regular basis to enlist their assistance on hard to collect accounts.
  • Have knowledge of the billing and posting processes performed by the Billing Specialist and how it relates to the collection of outstanding claims for assigned payers.
  • Request any information appropriate to collect and process claims.
  • Maintain a working knowledge of computer software, including CPSI.
  • Handle special request from administration.
  • Establishes work priorities related to patient satisfaction.
  • Assist in working quarterly reports.
  • Identify admit related errors to expedite the payment process in the future.
  • Other duties as assigned/ required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • Satisfactory completion of high school or equivalent preferred.
  • A minimum of 2 years in a medical business office.
  • Knowledge of payer practices and guidelines, reading an Explanation of Benefits and able to apply payments, contractuals, and patient responsibility, able to explain account activity in terms that the patient will understand, knowledge of UB04 billing form and billing requirements.
  • Excellent written and verbal communication.
  • Excellent organization and attention to detail
Scheduling Clerk (Full-Time)

GENERAL SUMMARY

Responsible for scheduling and rescheduling of radiology services, pre-operative services and surgical cases on a daily basis. Responsible for performing these tasks with the knowledge of case flow, communicating with various other departments on scheduling issues, and the routing of necessary Registration Department forms to facilitate desired patient outcome throughout the Registration process.

DUTIES AND RESPONSIBILITIES

  • Demonstrate daily in all job functions and interactions with patients, customers, coworkers, Managers, and physicians the mission and Standards of Behavior of Cypress Pointe Hospital.
  • Perform job duties professionally, consistently, and effectively to maintain and/or exceed assigned goals to support the success of the department and Cypress Pointe Surgical Hospital.
  • Responsible for scheduling Pre-operative visits, Surgical, and Radiology cases into the CPSI OR Scheduling Module.
  • Responsible for the obtaining patient and clinical information pertinent to scheduling a patient for medical services. This information includes but is not limited to patient/guarantor demographics, insurance information, physician orders, and pre-certification from physician’s office.
  • Responsible for scanning the documents received from the physician’s office upon scheduling services.
  • Liaison between physicians and patients to determine surgery or radiology rescheduling or cancels and communicate the scheduling changes to team members in various departments daily.
  • Communicates with OR Manager any unusual cases or extenuating circumstances when a surgery is scheduled to prevent any interruptions to the patient flow process and surgical procedure.
  • Complete the Insurance/Deposit sheet for Verification, Registration, and Business Office use.
  • Cultivate and maintain good working relationships with patients, physicians, vendors, and employees of all departments.
  • Handle all special requests appropriately and timely assigned from the Director of Patient Financial Services, OR Manager, and/or Administration.
  • Must be able to handle potentially stressful situations while maintaining a positive and professional attitude.
  • Must be able to multi-task and flex working schedule to ensure customer satisfaction, completion of job duties, and to support the operations of the Registration department.
  • Demonstrates a consistent high degree of accuracy in accomplishments of daily activities.
  • Possess knowledge of scheduling procedures according to CPSH Policies.
  • Possess a working knowledge of computer utilized for scheduling and data entry.
  • Maintain confidentiality and adhere to HIPPA Compliance on a daily basis.
  • Other duties as assigned/ required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

EDUCATION/QUALIFICATIONS

  • Satisfactory completion of high school or equivalent preferred.
  • Minimum of two years of experience in the healthcare setting in registration, insurance verification and/or scheduling.
  • Excellent written and verbal communication.
  • Excellent organization and meticulous attention to detail.