Job Details
Job Description
This position is responsible for managing patient registrations in Acute Revenue Cycle Patient Access Departments. As the first point of contact for most Centra patients, this position provides key customer and financial services. This position provides services for pre-registration, registration, upfront collections/payment plans, medical necessity checking and financial counseling, referring those patients to appropriate sources for follow up as needed.
Responsibilities
Essential Duties and Responsibilities:
Registers patients for various hospital services; meets Patient Access standards by registering patients in interviews and accurately collects patient information and demographics for various hospital services.
Verifies and reviews insurance plans and coordinates benefits on behalf of patients.
Manages payments at point of service including; collecting and posting payments, providing a receipt, and balancing transactions per shift.
Obtains completed authorizations and notifications of admissions for patients.
Assists patients with financial clearance of accounts by communicating financial responsibility through estimates, setting up payment plans, and/or providing referrals to financial counselors.
Appropriately respond to phone calls, emails, and other forms of communication.
Complies with governmental regulations in reference to healthcare, billing, the Health Insurance Portability and Accountability Act (HIPAA), The Joint Commission (TJC) standards, Centers for Medicare and Medicaid Services (CMS), Emergency Medical Treatment and Labor Act (EMTALA), as well as Centra and Acute Revenue Cycle department policies and procedures.
Other Functions:
Provides courteous service to all stakeholders (patients, patient families, teammates, other department staff, etc.) by resolving stakeholder problems, responding to inquiries, and following-up to develop and strengthen customer relationships.
Cover other shifts and departments as needed within Acute Revenue Cycle Departments.
Assist in training of new hires as needed.
Perform other duties as assigned or requested and job specifications can be modified or updated at any time.
Qualifications
Required Qualifications:
High school diploma or equivalent.
Proficient with Microsoft Office Products.
Proficient typing and spelling.
Proficient computer skills, multitasking with data entry while using multiple computer applications.
Ability to provide high level of customer service, attention to detail, critical thinking, and have proficient written and verbal communication skills.
Preferred Qualifications:
Some college experience in healthcare, business, accounting and/or professional certification preferred. Assocaites degree and/or bachelor's degree in medical preferred.
Patient registration experience or medical office experience.
Have an understanding and ability to communicate financial and insurance information.