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HomeMy WebLinkAboutMINUTES - 02121991 - 1.39 ii=jU't 71 ILs O. , Date: ,a -oto Dept. -No./ COPERS DepartnentBEALTH SVCSjFIN `Budget,-Unit No: Org. :No Agency 'No.. 54. Action Requested: Add four.-P.I `` - Proposed, Effective Date Explain why adjustment is .needed: ­tt: ER and outpatient regi11 stration a wJ }g i' Classification Questionnaireattached: Yes No bud et: _ Yes � NoCost is within department's _ Total One-Time Costs (non-salary) associated. with this request Estimated Total cost of adjustment .(salary/benefits/one-time): ' Total Annual Cost $ 60,480.00 Net ;County Cost $ -0- Total. This .FY $ 30.240.00 N.C.C. This FY $ -0- _ Source of Funding to Offset Adjustment: overtime co' sft's' 17 Department must initiate necessary appropriation adjustment - and submit to CAO. Use additional sheets .for 'further, _ explanations or comments. (for) Dep r er_ H d Reviewed by CAO and Released To Personnel Department Deputy County. Administrator',: Date Personnel Department Recommendation Date: 1-31"-91 Add 4 P.I:, .C1erk-Experienced Level positions a salary level C5-1304 ($1673-2034). t Amend .Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt Salary Schedule, as described above. Effective: 4day following Board_:action. Datefo Dir to o Pe sonnel County Administrator Recommendation Date: Approve Recommendation of :Director of Personnel Disapprove Recommendation of Director. of Personnel Other: - ,.'(for) County -Administrator Board of Supervisors Action Phil ,,Batchelor, -Clerk of the Board of Adjustment .APPROVED/6'9!!F@K@VW on FEB 1-2 � Superv. cors and .County Administrator Date: . FEB 12 )991 By: APPROVAL OF THIS ADJUSTMENT CONSTITUTES A `PERSONNEL/SALARY.RESOLUTION`-AMENDMENT.. - P300 (M347.) 7/P9 (Rev. ) . GENERIC DUTIES - B LEVEL CLERK ADMISSIONS/E.R. REGISTRATION Working under direct supervision, train in all areas of admission and registra- tion. After two weeks of training in the following areas, time will be spent each day doing the following: 21/2 hours Interviewing: Interviewing patients using worksheet to determine identification of person and source of payment (see attached). Patients are often very ill or angry and clerk needs to stay calm and assure patients that their medical needs will be taken care of regardless of their ability to pay. Financial clearance will be at a minimum; taking Medi-Cal labels from patients, copying Medicare and insurance cards & papers, ' 4 offering Medi-Cal screening forms and Basic Adult Care applications. 1 hour Prescreen Health Plan: Using a printed roster for the next-day appointments look up every patient in the 'PHS computer system. On the roster, record if patient is/is not eligible, with dates and group numbers. All patients identified as plan members are looked up in the PHS system to see if there is an account which is open with a source code use-able for the scheduled services. Open account numbers are recorded on the roster. 1 hour Valuables: In the: Emergency Room Registration area, patients and staff (representing patients) leave valuables to be placed in the walk-in safe and claim valuable envelopes. When valuables are being checked in, the clerk will say aloud the description of the item as it is being recorded on the receipt. Patient (or patient .representative) and clerk both sign valuables receipt; patient gets original of receipt. Clerk places copy of receipt in valuables envelope and seals envelope with strapping tape. Record receipt number in control book and inventory control log. With a second-key clerk, place envelope in numeric order in tray in the safe. When patient/patient representative presents a valuables receipt, retrieve envelope, with a second-key clerk, cross off on inventory log, record in control book, get patient's signature on receipt. Check signatures for matching, check patient's I.D. , file receipt. 1 hour Embossing Cards: In areas where the card embosser is manual , or the computer system is down, clinic cards are to be embossed manually. Cards contain patient and account information necessary for billing. I/2 Imprint paperwork. Using the embossed clinic card, imprint appointment slips and some charge forms. 1� hour Phones: Answer phones and give out requested information or transfer to appropriate person. 1� Cashier: Take cash, checks, money orders, Visa or Master Charge cards and write receipts for payment. (32)DUTYS-B-ER GENERIC DUTIES - B LEVEL CLERK OUTPATIENT REGISTRATION Working under direct supervision, train in all areas of admission and registra- tion. After two weeks of training in the following areas, time will be spent each day doing the following: 21/2 hours Interviewing: Interviewing patients using worksheet to determine identification of person and source of payment (see attached). Patients are often very ill or angry and clerk needs to stay calm and assure patients that their medical needs will be taken care of regardless of their ability to pay. Financial clearance will be at a minimum; taking Medi-Cal labels from patients, copying Medicare and insurance cards & papers, offering Medi-Cal screening forms and Basic Adult Care applications 1 hour Prescreen Health Plan: Using a printed roster for the next-day appointments look up every patient in the PHS computer system. On the roster, record if patient is/is not eligible, with dates and group numbers. All patients identified as plan members are looked up in the PHS system to see if there is an account which is open with a source code use-able for the scheduled services. Open account numbers are recorded on the roster. 1 hour Embossing Cards: In areas where the card embosser is manual , or the computer system is down, clinic cards are to be embossed manually. Cards contain patient and account information necessary for billing. Imprint paperwork. Using the embossed clinic card, imprint appointment slips and some charge forms. 1/2 hour Phones: Answer phones and give out requested information or transfer to appropriate person. 1/2 Cashier: Take cash,. checks, money orders, Visa or Master Charge cards .and write receipts for payment. (32)DUTIES-B CLERK EXPERIENCED LEVEL DUTIES (support to management) 1 . REGISTRATION AND ADMISSIONS: All work deals with registering patients into the PHS computer system. Clerk must be able to function as an on-line registration clerk whenever a site is short staffed. This may not be frequent but skills must be kept up. See generic job description for details . 2. POLICIES AND PROCEDURES MANUALS: Clerk will keep all registration and admissions procedures updated on either a personal computer or work processor. Must be able to take verbal instruc- tions and format into standard outline. Maintain distribution list and tickler files. 3. REPORTS: Collect on a daily/weekly/monthly basis, data needed for a .variety of reports. Input on a regular basis and produce reports on schedule. Be able to type complicated reports from hand written originals using a word pro- cessor or personal computer. 4. FILES: Maintain files of daily reports from six different work sites. Keep chron and subject files for manager(s) . Keep tickler file on all outgoing correspondence that requires a request or action. S. TELEPHONES: Answer telephones and take messages. Be able to relieve hospital operators. Maintain vital information on all on-call staff: who's on and where they can be reached. 6. ORDERING. Order major equipment for department. Maintain close follow-up of progress through system. 7. CORRESPONDENCE: Write memos and/or letters to various county personnel and patients from either verbal instructions or handwritten originals. Maintain correspon- dence files.