Address
Form of work
Salary- Display High degree of accuracy, collects, verifies and enters patient’s demographic, employer, financial, emergency contact, insurance, subscriber and case-specific information, such as referring physician and diagnosis into EMR System
- Consistently and accurately obtains and interpret the patient’s insurance benefits and processes the ability to communicate this information accurately to the patient and co-workers.
- Consistently has the patient sign and scan all necessary documents for completion of the admission process
- Has the ability to determine the patient’s financial obligation and communicate this information accurately and with respect to patient.
- Performs registration functions consistent with Federal, State, and Local regulatory agencies and Payer requirements, and organizational policies and procedures, including HIPAA, Privacy, and Security Regulations, as well as JACHO.
- Upon decision of patient’s admission, perform the admission notification (NOA) process which is required communication with patient’s payer to ensure that the payment for patient’s inpatient stay is secured.
- Appropriately informs the patients of hospital policies that govern the revenue cycle. Minimizes the potential financial risk of patients accounts by discussing with the patient and/or guarantor their financial responsibility for upcoming visits/procedures, past due balances, and referral requirements. Offers options and negotiates acceptable resolution of estimated patient balance.
- Receives and properly responds to or directs telephone inquiries from patients, payers, physicians, and their staff, internal departments and other persons and entities.
- Use work queues within the EPIC system to coordinate all financial work. Keep the WQ’s current and within the required compliance.
- Maintains current knowledge of major payer payment provisions and regulations.
- Assists Patient Financial Services with denial management issues as needed
- Documents accounts clearly and accurately with all activity completed on every account.
- Receives and properly responds to incoming patient referrals for admission, by referral entry and scheduling of appointments within EPIC.
- Performs clerical functions consistent with organizational and/or department’s policies and procedures.
