About The Position

The position involves obtaining and verifying appropriate personal, demographic, and financial information to ensure quality patient care through proper patient identification and maximal reimbursement for all billable clinical services rendered. Responsibilities include scanning identification documents into OnBase, obtaining EMTALA notification signatures, notifying clinical staff of patients in critical condition, and placing appropriate insurance information on accounts. The role requires analytical skills to make decisions based on the facility and clinical situations, as well as computer literacy to use multiple systems including Epic, Passport, OnBase, Microsoft Office products, and Midas.

Requirements

  • High School Diploma required; Associate's Degree preferred or equivalent combination of education and experience.
  • One to three years of experience in Registration, Billing, Customer Service, or Managed Care Organization work environment.
  • Knowledge of Hospital Medical Staff rules and infection control policies.
  • Analytical skills to make decisions based on clinical situations.
  • Computer literacy and ability to use multiple systems.
  • Knowledge of health insurance coverage and requirements.
  • Excellent communication and problem-solving skills.
  • Ability to function well in stressful situations and interact independently to resolve customer service issues.
  • Understanding of medical terminology and acuity levels.

Nice To Haves

  • Experience with Epic, Passport, OnBase, Microsoft Office products, and Midas.
  • Familiarity with HMO/PPO/Medicaid/Medicare/commercial insurance regulations.

Responsibilities

  • Obtain and verify personal, demographic, and financial information for quality patient care and reimbursement.
  • Scan identification documents into OnBase.
  • Obtain EMTALA notification signatures.
  • Notify clinical staff when patients present with critical conditions.
  • Place appropriate insurance information on accounts.
  • Analyze patient accounts and evaluate financial data.
  • Maintain knowledge of current insurance regulations and requirements.
  • Complete required MSPQ questionnaires for appropriate patients.
  • Coordinate patients needing financial assistance with Financial Counselors.
  • Collect and deposit insurance co-payments according to protocols.
  • Initiate online verification of third-party insurance carriers.
  • Prepare documentation for Medicare compliance.
  • Process emergency and obstetrics cases by notifying appropriate staff.
  • Answer and direct incoming calls from physician's offices and other departments.
  • Obtain signatures for revenue cycle documentation.
  • Provide education and training for other staff members.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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