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Canton-Potsdam Hospital Pre-Access Representative in Potsdam, New York

The Clinic Hub will assist Physician Practice Management (PPM) outpatient practices by centralizing and streamlining workflows for non-patient facing tasks. The essential responsibilities will include preparing patient records and coordinating services for patients as requested by the provider. This hub will handle all the pre-work needed for a complete visit while complying with the social distancing recommendations of the CDC.

Patient Care Management:

  • Obtain and accurately record all relevant information, such as demographics, forms, etc. and ensure it is accurate and thorough in the patient’s electronic medical record (EMR)

  • Assure that all patient encounters, whether in person, electronically, telephonic or via other communication links are documented in a professional, timely and accurate manner

  • Review patient EMRs and prepare for upcoming patient encounters to ensure practice is prepared with resources as necessary

  • Responsible for all incoming and outgoing referral management

  • Coordinate services for patients as requested by the provider

  • Responsible for managing and obtaining prior authorizations as required by relevant insurance companies or other providers/vendors for ancillary services and in office procedures prior to the delivery of services

  • Responsible for scheduling Operating Room procedures and ensuring that prior authorizations and the booking sheet are sent to the Pre-Admission Testing team

People:

  • Establish and maintain positive relationships, as well as provide open and clear communication, with care team and management, as well as any person involved in delivering high quality patient care

  • Promote and uphold relationships and collaborate with staff, providers, leadership and other vendors as required to maintain an effective work environment

Regulatory:

  • Works with Physician Practice Management (PPM) team to comply with all established standards required under the accreditation standards of Det Norske Veritas

  • Knowledgeable of state and federal healthcare standards, as appropriate

  • Accesses appropriate resources through the PPM Management team regarding DNV standards, federal (CMS), State of New York statues, rules and regulations under all applicable federal and state, departments and acts collaboratively with PPM leadership team

  • Resolves problems and ensures compliance with medical regulations and office standards of quality patient care and customer service

  • Adheres to Canton-Potsdam Hospital and PPM policies, procedures, protocols , guidelines, etc.

Training and Development:

  • Participates in team meetings

  • Participates in on-going education activities to develop, maintain, and enhance professional expertise as monitored by supervision

  • Meets and abides by CPH Mission, Vision and Values

  • Works with PPM Management to resolve issues (Processes, performance, etc.) to identify opportunities for improvement

EOE

ID: 2021-7609

Shift: 8 Hour

Shift Details: 8Hr: Variable Shifts

External Company URL: https://www.stlawrencehealthsystem.org/

Required Level: High School Diploma or Equivalent

Preferred Level: Associate's Degree

Contract: 200B

Post: St. Lawrence Health System Careers: 5/14/2021

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