The purpose of this position is to serve as a liaison between patient / family, payers, Patient Financial Services, and other health care team members.
You'll be asked to facilitate patient tracking and billing by obtaining / verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.
Basic Qualifications
- High School Diploma or GED, required
- 3 years patient registration and insurance verification experience in a health care setting, required.
- Emergency Department experience strongly preferred.
- Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
- Basic understanding of medical terminology
- Excellent customer service
- Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.
- Position requires fluency in English; written and oral communication
Essential Job Functions
- Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records
- Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
- Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff
- Provide and obtain signatures on required forms and consents
- Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
- Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
- Obtain insurance authorizations as required by individual insurance plans where applicable
- Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
- Scan all registration and clinical documentation into the system and maintain all medical records
- Assist with coordinating the transfer of patients to other hospitals when necessary
- Respond to medical record requests from patients, physicians and hospitals
- Maintain cash drawer according to policies
- Maintain log of all patients, payments received, transfers and hospital admissions
- Maintain visitor / vendor log
- Distribute mail appropriately
- Assist with compiling, analyzing, and reporting data for Patient Access quality measures
- Ensure QA on patient registrations, admissions and transfers
- Ensure QA of site-specific medical records storage and upkeep
- Assist in ordering office supplies, dietary and employee snacks where applicable
- Assist with management of worklists / workqueues within the patient accounting system
- Serve as first line of contact for PAS when on duty
- Assist with training of new employees in all aspects of their assigned job
- Work alongside Patient Access team members to ensure processes and policies are being followed
Other Job Functions
- Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
- Receive deliveries including mail from various carriers and forward to appropriate departments as needed
- Notify appropriate contact of any malfunctioning equipment or maintenance needs
- Attend staff meetings or other company sponsored or mandated meetings as required
- Assist medical staff as needed
- Perform additional duties as assigned
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