Job Description

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$18.78 - $28.54

Schedule:

Full Time

Shift Hours:

8 Hour employee

Department:

Pre-Reg/Scheduling

Job Objective:

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. Education:
Required: High School Diploma, GED or higher level degree if hired after March 1, 2025
Licensure/Certification:
Required: N/A
Experience:
Preferred: Healthcare or customer service experience Reports To: Supervisor, Manager, Director Supervises: N/A Ages of Patients: Adult, Geriatric Blood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to operate general office equipment (i.e., computer, printer, scanner, telephone, etc.), Computer literate in usage of (Word, Excel, Outlook, etc), Excellent Customer service, excellent communication skills, Verbal and written, Knowledge of insurances, including eligibility, benefit coverage and authorization/pre-certification, Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices, Proficient with various uninsured patient linkage programs, Successful completion of the Department Insurance 101 Program

Essential Responsibilities

1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
2. Schedules patients with accurate information, including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator.
3. Properly identifies patients by using proper method of retrieving patient history and information, avoiding creation of duplicate Medical Records for additional patient visits.
4. Registers patients and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
5. Reviews insurance eligibility, updates account with accurate information obtained from the health plan and releases the insurance based upon verification process.
6. Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for, outpatient services, and inpatient admissions.
7. Ensure that all HIPAA regulation information is completed appropriately.
8. Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.
9. Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
10. Ensures that all required insurance authorization/pre-certification has been attained to ensure correct payment from the health plan.
11. Ensures that patients are aware of the insurance benefit coverage and their financial responsibility.
12. Provides patients who qualify for uninsured discount with a cash quote.
13. Provides patient and/or family with all available linkage programs for financial assistance.
14. Adheres to department Policy and Procedures and completes department/job training orientation program(s).
15. Maintains registration error accuracy rate of 95% or higher; maintains all other departmental accuracy and productivity standards.
16. Successfully completes all required training courses.
17. Attends and participates in all staff meetings.
18. Performs other duties as assigned.