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Home My WebLink AboutMINUTES - 01261988 - 1.29 �"_0r119 POSITION ADJUSTMENT REQUEST No. S REC1`FEJ FERSO SEL DcFARi�i�ii:}=� Date: 12/10/87 � 3 ��P�i •/ Copers Department Health Services n nce Budget Unit No. 0540 Org. No. 6553 Agency No. 554 Action Requested: Classify one (1) 40/40 Clerk "D' level position and one (1) 24/40 s Clerk "B" level pose ion (botn flaggear typing LNU WI'M) .cancel Supv. Clerk posi ion 5 - 030. Proposed Effective Date: Explain why adjustment is needed: To provide additional coverage in our Admission/ER..registratib function on weekends and some weekday PM s i s see cover memo) . Job Descriptions £iassification-Qeest4ann-afire attached: Yes ® No (� Estimated cost of adjustment: $ 761/month Cost is within department's budget: Yes Q No If not within budget, use reverse side to explain how costs are to be funded. Department must initiate necessary appropriation adjustment. Web Beadle,/$� 4 Use additional sheets for further explanations or comments. Dept. Personnel Officer (for) Department Hea Personnel Department Recommendation Date: / 2 -,304 -7 Classify one 40/40 Clerk - D Level position, Salary Level XB 1380- ($1719-2195) and one 24/40 Clerk - B--Level position, Salary Level C5 1141 (1422-1725) _both flagged for typing at 40 wpm; cancel Supervising Clerk position #54-30, Salary Level XB 1473 (1887-2408) . r f Amend Resolution 71/17 establishing positions and resolutions allocating classes"to the Basic/Exempt Salary Schedule, as described above. - Effective: day following Board action. - 13 Date or Director 6,9 Person-n-67 County Administrator Recommendatfon Date: 1 911(p`p'rove Recommendation of Director of Personnel D Disapprove Recommendation of Director of Personnel 0 Other: fo C ty Administrator Board of Supervisors Action ,JAN 2 6 1988 Phi! Batchelor, Clerk of the Board of Adjustment APPROVED on Supervisors and County Administrator Date: JAN 2 6 1988 By: APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. REGISTRATION UNIT LEAD WORKER JOB DESCRIPTION GENERAL DESCRIPTION OF RESPONSIBILITIES: It is the responsibility of the clerk in the "D" level classification to take lead direction of the "A, B and C" level clerks reporting to him/her. The majority of the time, the Lead Worker will do the same or more complicated work of those s/he leads. The Lead Worker will assist the Supervising Clerk in doing annual evaulations and recommendations for salary increases or disciplinary actions. The Lead Worker will attend regularly scheduled meetings at the hospital in -Martinez. These meetings are the clearing ground for developing and implementing procedures for the registration function.. S/he will work with Lead/Supervising Clerks from other medical and . mental health work units in order to maintain uniformity and clarity throughout the system. All information obtained at meetings is to be taken to the work unit. Informal meetings are to be held with the staff in order to implement and follow-up on procedures. The Lead Worker is responsible for carrying ideas and problems iden- tified by their staff to their Supervising Clerk and/or the registra- tion staff meetings. Lead Workers will work under a matrix management system, whereby they report directly to a Supervising Clerk, but work closely with Clinic Administrators. The Supervising Clerk reports directly to the Admissions Manager who is responsible for establishing policies and procedures for the Admissions/Registration/Financial Counseling Units. The Clinic Administrators may request exceptions to any procedures when necessary for the orderly functioning of the clinic. However, if an exception starts becoming a rule, then the Admissions Manager and Clinic Administrator need to review the policy/procedure in question. It is the responsibility of the Lead Worker to report all exceptions to their Supervising Clerk. C- LEVEL TASKS: Billing Parameters. Have a thorough understanding of the regis- tration function of the PHS computer system. The registration function sets up the billing parameters so that the computer can produce a bill , ideally, without needing manual manipulation by a biller in the Patient Accounting Department. This includes a thorough understanding of prioritizing the following: Basic Adult Care �•. Champus r Contracts Health Plan and other HMO's Industrial Accident/Injury Insurance Kaiser Medi-Cal Medicare Private Pay Short/Doyle Victim of Crime Others as needed Interviewing Patients. Have the ability to greet patients promptly and courteously, even though the patients may be uncooperative, loud, pushy, rude or vulgar. Be able to give such patients needed directions and elicit their co-operation. Many of these people are ill or injured, frightened or have language barriers. They must be interviewed, ascertaining the following information: Name - with correct spelling and in the correct order. If ever seen in a CCCHSD facility - If yes, thorough name search Mailing Address Where located, if different from mailing address Telephone numbers - including message phones Maiden Name Mother's Maiden Name Social Security Number Date of Birth Responsible party - with all of the above information Payment Coverage - documented and copied Primary Care Clinic & Provider Preparing documents. The following must be done on all patients being registered: Print face sheet Obtain signatures Emboss plastic clinic cards Copy Insurance papers (including Medi-Cal and Medicare) For patients new to the clinic site, a medical record must be com- piled and labeled. Reading Micro Fiche. A number of important micro fische are pro- duced and must be used as a look-up tool for patients who have not brought the necessary proof with them, such as Medi-Cal . When the computer is down, then micro fiche must be used - if a medical record number is needed or membership in the Health Plan needs to be confirmed. Screening for Medi-Cal or B.A.C. Have patients who do not have a payor source fill out appropriate screening forms and refer to the �. proper agency - i .e. Social Services or Financial Counselor. Accepting completed B.A.C. applications and turning over to the r _ Financial Counselor. Work Flow. Most work is done on a demand basis. That which is notsuch as pre-screening and batching, must be done in a timely manner. Most things must be done in less than a 48 hour time span. Miscellaneous. Answering phone, giving directions and/or infor- mation, getting forms signed, making machine copies of forms, taking deposits, writing receipts, filing etc. Necessary Skills. Ability to type, alphabetize, print neatly, in erview courteously and work under pressure. Lead Worker is a demanding job. Decisions need to be made on the spot. Knowing who to call , for what, when is critical . The proce- dures are in a constant state of flux. Logic and a level head is needed at all times. The ability to delegate, train and follow-up are critical to a well-run unit. (22)Lead C_