JOB DESCRIPTION: Obtains demographic and insurance information for preregistration/registration on all patients. Communicates hospital's financial policies to all patients. Identifies patients who require early financial counseling intervention. Collects on self pay accounts, co-pay and deductibles. Documents financial arrangements. Schedules procedures/follow up appointments. Ensures and reviews all demographic data for hospital visits. Crosstrains in other Access Departments and Facilities. Schedules procedures/follow up appointments in General Patient Registration Millennium Scheduling. Completes demographic and insurance. Provides patients with exam information. Familiar with Advance Beneficiary Notice, precertification, ICD-10 coding, Medical Terminology. Communicates with Physician Offices, Staff, and other departments. Responsible for obtaining pre-certification and/or managed care referrals for inpatient and out patient encounters. Other responsibilities include performing verification of benefits, order entry, and pre-certification for elective and emergency admissions. Position requires self-motivated individual who can handle high patient volumes and fast pace. Assist with departmental workflow as needed. Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up. Maintains knowledge of departmental applications i.e. Eclipse, E-Cashiering, FirstNet, HealthQuest, General Patient Registration (GPR), Enterprise Encounter, Scheduling, Millennium, and Patient Responsibility Pricer, and other systems utilized by Patient Access. Performs other duties as required.
MINIMUM QUALIFICATIONS: High school diploma or equivalent. Must have at least 1 year Healthcare, registration, collections, billing, insurance related experience, or customer service. Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred. CHAA (Certified Healthcare Access Associate) CPAR (Certified Patient Account Representative) and/or CFC (Certified Financial Counselor) preferred. Typing skills with a minimum of 35 wpm and good communication skills.
PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.