About The 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 facilitate 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.

Requirements

  • 2 Years experience in a business service setting.
  • Must have experience communicating effectively both verbally and in writing professionally.
  • HFMA certifications preferred.
  • Knowledge of Medical Terminology.
  • Knowledge of insurances, billing and collections guidelines/criteria.
  • Knowledge of Local, State, and Federal regulations governing registration/billing activities including Joint Commission, Title XXII, Medicare and Medi-Cal regulations.
  • Knowledge of ICD-10, CPT, and/or RVS coding.
  • Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice.

Nice To Haves

  • H.S. Diploma or Equivalent
  • Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.

Responsibilities

  • Collections
  • Completes insurance verification and evaluation
  • Customer service
  • Demonstrates initiative and teamwork
  • Other duties
  • Patient registration
  • Regulatory responsibilities

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What This Job Offers

Career Level

Entry Level

Industry

Insurance Carriers and Related Activities

Education Level

High school or GED

Number of Employees

251-500 employees

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