Sharp Healthcare-posted 9 months ago
$26,950 - $37,730/Yr
Full-time
Chula Vista, CA
Hospitals

This position coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitates maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives. Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility.

  • Follow department guidelines for providing patient with estimate letter.
  • Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies.
  • Receive and process funds, print and file receipt, and update Centricity visit comments.
  • Complete insurance verification and evaluation.
  • Input all insurance coverage information into Centricity Insurance Verification (IF).
  • Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable.
  • Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON).
  • Initiate interview on unfunded/underfunded patients.
  • Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.
  • Negotiate with others, handle minor complaints by settling disputes, grievances, and conflicts.
  • Prioritize job responsibilities effectively.
  • Round on patients when volumes are low as identified by your department.
  • Provide ongoing support of department and hospital needs as assigned.
  • 2 Years experience in a business service setting.
  • Must have experience communicating effectively both verbally and in writing professionally.
  • H.S. Diploma or Equivalent.
  • Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
  • HFMA certifications preferred.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service