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Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. Financial clearance process encompasses any or all of the following job functions:
- Verifies insurance eligibility and plan benefits.
- Contacts patients with inactive insurance coverage to obtain updated insurance information
- Validates coordination of benefits between insurance carriers.
- Explains insurance plan coverage and benefits to patients, as necessary.
- Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper.
- Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers.
- Refers patients with less than 100% coverage to Financial Screening Navigators.
- Identifies copayment, deductible and co-insurance information.
- Collects and processes patient liability payments prior to service.
Provides clear and concise documentation in systems.
Communicates daily with insurance companies, internal customers, providers and patients.
Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. Financial clearance process encompasses any or all of the following job functions:
- Verifies insurance eligibility and plan benefits.
- Contacts patients with inactive insurance coverage to obtain updated insurance information
- Validates coordination of benefits between insurance carriers.
- Explains insurance plan coverage and benefits to patients, as necessary.
- Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper.
- Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers.
- Refers patients with less than 100% coverage to Financial Screening Navigators.
- Identifies copayment, deductible and co-insurance information.
- Collects and processes patient liability payments prior to service.
Provides clear and concise documentation in systems.
Communicates daily with insurance companies, internal customers, providers and patients.
Perform various laundry, patient transport, and environmental duties throughout the hospital. Performs specific cleaning duties to maintain a clean and aseptic environment. Transports patients throughout the facility in a professional, courteous and timely manner. Performs laundering and related assignments necessary to the collection, processing and distribution of linen throughout the system. Keeps waiting rooms, lounges, and staff areas tidy. High School diploma or equivalent required.
Monitor equipment and personnel to achieve and maintain contract compliancy including local, county, state, federal compliancy in accordance with plant operations; Monitor valves to maintain required amounts of water in boilers and HRSG to adjust supplies of combustion air, and to control the flow of fuel into burners; Monitor and inspect equipment, computer terminals, switches, valves, gauges, alarms, safety devices, and meters to detect leaks or malfunctions and to ensure that equipment is operating efficiently and safely; Watch operating equipment to detect malfunctions; Inspect equipment and equipment areas; Monitor boiler and HRSG water, chiller water, tower water, and make adjustment to maintain required levels.; Monitor equipment fluid levels; Observe and interpret readings on gauges, meters, and charts registering various aspects of boiler and chiller equipment(s) operation to ensure proper operation. Report deviations or abnormal trends; Monitor all plant equipment operation to ensure proper functioning i.e.: Gas turbine, generator, DA tanks, pumps, sumps, burners, controls, air compressors, gas compressor, motors, etc.; Test boilers quality or arrange for testing and take necessary corrective action, such as adding chemicals to prevent scale, corrosion and harmful deposits; Test chemical or physical characteristics of materials and or products; Analyze problems and take appropriate action to ensure continuous and reliable operation of equipment and systems; Operate or trend gas turbine, gas compressor, boilers, auxiliary equipment such as pumps, compressors, chillers, towers to supply and maintain steam, heat, cooled air, humidity control for buildings and pneumatic tools; Operate pumping systems and equipment; Identify, investigate, and resolve energy or gas trends that fall outside normal ranges; Identify when to cycle/stage equipment based on established set points and load demands; Monitor weather conditions in preparation of unexpected equipment demands and/or potential outages; Assess with the repair of equipment in the hospital when needed; Clean and paint cogeneration facility. Performs additional duties requested by the Supervisor/Director in order to ensure the effective and efficient operation of the Campus; Assists in the work direction of other mechanics, facility staff, trades helpers, and/or other skilled trades, as needed.
Responsible for performing accurate and timely payment posting functions and utilizing Cash Management in Epic. Process and accept EDI electronic remittance files. Responsible for working and resolving any errors in Remittances Runs to successfully post payments.
Manually post insurance payments and credit card payments as needed. Post recoupments and rejections; close and process payment/rejection batches. Resolve any deposits that cannot be posted in a timely manner. Post correct remit codes to facilitate account work queue follow up by the appropriate team.
Communicate with team members, insurance companies, third party payers and others as needed. Provide training to other team members as needed relating to posting payments and rejections manually and electronically in all active systems. Perform general clerical duties and special projects as assigned.
Attend and participate in meetings/trainings as deemed necessary.
Accurately and timely prepares all medications, including IV medications,
under the direct supervision of the pharmacist as per policy and regulation.
Restocks Automated dispensing devices
Restocks Carousals
Fills Floor stock requisitions
Completes expired medication inspections
Answers phones to assist in dispensing questions
Ensures all medications are properly delivered.
Able to breakdown wholesaler order and organize storeroom
Organize bulk fluid inventory(s)
Flunctionally use the hospital information systems
Adheres to Departmental procedures, fulfills compliance with life, safety, fire and hazardous
waste requirements, Radiation Safety, Infection Control requirements.
Maintains Licensure, participates in C.E.U’s. Performs Ultrasound procedures (Portables,
E.R., General, and Vascular).
Maintenance of equipment/supplies, maintains paperwork associated with job function.
Maintains work area.
Participates in clinical activities (i.e. assists with patient flow/care, performs various testing,
assists provider etc.)
Participates in clerical activities (i.e. registration, scheduling, filing, telephones, pulling/
preparing charts, faxing, Xerox forms/ charts, fills out forms.
Participates in Departmental On Call Requirements.
Receives specimens and orders appropriate tests as prescribed; processes samples for laboratory testing using various computer applications. Checks for specimen integrity and proper specimen identification. Prints and distributes reports, answers telephone calls from customers including inpatient nurses - physicians and outpatient clients. Processes specimens for multiple Reference Labs.
The ED Flow Manager’s primary responsibility will be to facilitate flow through the ED.
- He/she will delegate care to the ED care teams and assign patients, ensuring that workload is balanced and delegates tasks appropriately, employing resources as needed to assure quality and efficient care.
- Ensures the delivery of patient care through the coordination of customer services and the leadership and management of the Emergency Department and Clinical Decision Unit at the direction of the Clinical Director.
- This position assists the Clinical Director in coordinating interdepartmental and ancillary activities to ensure quality, cost-effective patient care.
- Assists the Clinical Director in leading the patient care team to meet the needs of the customers and to achieve departmental objectives.
- Assumes responsibility and accountability for the direction and implementation of patient care services within the Emergency Department and Clinical Decision Unit at the direction of the Clinical Director and in their absence.
The Registered RN is a professional caregiver who, as a member of a multidisciplinary health care team, assumes responsibility and accountability for a group of patients for a designated time frame and who supervises and provides care to these patients utilizing the nursing process including the therapeutic use of self.
Additional Responsibilities:
- Follows established policies and procedures.
- Communicates openly with internal customers and supervisors.
- Provides excellent customer service interfacing well with all levels of staff, management, and physicians.
- Applies Cooper core values.
- Assumes responsibility and accountability for a group of patients for a designated timeframe.
- Evaluates patients, implements, and documents nursing care.
- Assists physicians during examinations and procedures.
- Performs various patient tests and administers medications utilizing the nursing process.
- Promotes patients' independence by establishing patient care goals and teaching patients and families to understand conditions, medications, and self-care skills.