Address
Form of work
Salary- Job Objective: A brief overview of the position.
- The position is responsible for patient scheduling, accurate registrations, insurance verification, authorization/pre-certification, financial responsibility, financial aid, point of service collections, cash pay quotes and customer service
- Reports to
- Supervisor, Manager, Director
- Supervises
- N/A
- Ages of Patients
- Adult
- Geriatric
- Blood Borne Pathogens
- Minimal/ No Potential
- Qualifications
- Required: High School Diploma, GED or Higher Level Degree
- N/A
- Preferred: Previous experience in Healthcare setting and/or Customer Service Experience
- Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
EducationLicensure/CertificationExperience - Essential Responsibilities
- Schedules patients with accurate information , including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator, etc…..
- Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
- Properly identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
- Registers patients and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
- Reviews insurance eligibility, updates account with accurate information obtained from the health plan and releases the insurance based upon verification process.
- Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for, outpatient services, and inpatient admissions.
- Ensure that all HIPAA regulation information is completed appropriately.
- Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.
- Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
- Ensures that all required insurance authorization/pre-certification has been attained to ensure correct payment from the health plan.
- Ensures that patients are aware of the insurance benefit coverage and their financial responsibility.
- Provides patients who qualify for uninsured discount with a cash quote.
- Provides patient and/or family with all available linkage programs for financial assistance.
- Displays knowledge of and adheres to Admitting department Policy and Procedures.
- Attends and participates in all staff meetings.
- All other duties, as assigned.
- Successfully completes Admitting training orientation program(s).
- Maintains registration error accuracy rate of 95% or higher. Demonstrates and maintain all other departmental accuracy and productivity standards.
- Successfully completes all required training courses.
- Demonstrates an advanced knowledge of insurances, including eligibility, benefit coverage, authorization/pre-certification, and other relevant information.Demonstrates proficiency and expertise with various uninsured patient linkage programs.
Location: Eisenhower Health · Pre-Reg/Scheduling
Schedule: Part Time, Day, 8 Hour Shift
