CC Intake-Referral Auth

PIONEERS MEMORIAL HEALTHCARE DISTRICTBrawley, CA
$20 - $23Onsite

About The Position

The Intake Registration Clerk interviews incoming patients or their representatives, prepares registration forms for signature, verifies insurance eligibility, benefits, and authorizations, and processes charges into the computer system for services rendered. This role also includes functions of cashier, telephone operator, and health information clerk, and is responsible for completing authorizations and referrals for medical services.

Requirements

  • High school diploma or equivalent
  • Minimum 3 years experience in patient registration (hospital preferred)
  • Knowledge of medical terminology preferred
  • Mathematical ability to review financial records
  • Proficient with 10-key adding machine, typing, and computer systems
  • Accuracy prioritized over speed
  • Familiarity with filing systems and copy machines

Nice To Haves

  • Bilingual (Spanish/English) preferred

Responsibilities

  • Obtain and verify accurate registration data, including social, financial, and personal information, insurance forms, ID cards, and patient identification.
  • Manage the registration process by determining services needed, obtaining necessary signatures, explaining clinic policies and third-party payer procedures, completing and explaining MSP forms for Medicare patients, securing proper authorizations prior to services, and documenting account activity and financial status.
  • Assemble charts in proper order, create filing charts with correct terminal digit stickers, generate medical record deficiency slips, and maintain filing systems in designated areas.
  • Ensure confidentiality and security of patient health information, provide feedback on admission and billing process quality, obtain and verify authorizations for release of records, assemble nightly documentation for HIM coding, and respond promptly to departmental inquiries.
  • Answer phone calls efficiently and courteously, and type and compile necessary reports.
  • Scan lab and ancillary reports into medical records, file completed charts in permanent system (terminal digit order), organize incomplete charts in designated area, and maintain filing system accuracy and completeness.
  • Balance cash drawers, accept payments (cash, credit, checks), and generate receipts for patients and guarantors.
  • Complete authorizations and referrals for appointments and procedures, review medical history and insurance coverage for approval, contact referring physicians for additional information, input and update patient information in EMR, monitor schedules and maintain referral documentation, review referral/authorization details with patients, and remind patients of scheduled appointments.
  • Process prescription and procedure authorizations, check patient eligibility and benefits, schedule procedures, complete referrals, and enter all data into EMR.
  • Demonstrate understanding of Admission Policies and Procedures, routinely use Admissions Policy manual and reference materials, and utilize HIS Affinity system to full capacity and adapt to system enhancements.
  • Promote positive patient and interfacility relations in a caring environment, maintain confidentiality of patient, service, and financial information, perform similar duties across multiple outpatient departments, cross-train to support other outpatient functions, exhibit strong customer service and teamwork, stay organized and manage priorities effectively, and follow through on delegated tasks with accountability.
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