Patient Accts Rep Amb ED

Brown University Health Services • Providence, RI

83d • $21 - $21

About The Position

The position involves general supervision in accordance with established credit policies and procedures, focusing on interviewing and registering patients for Emergency/Trauma Center or Ambulatory treatment. This includes obtaining demographic, third-party insurance, and related financial information, and entering this data into an online computer system. The role also requires completing third-party documentation, discussing any existing balances for previous hospital services, and making preliminary determinations on welfare eligibility. Additionally, the position involves requesting cash deposits for scheduled services or co-insurance, arranging payment terms, and determining eligibility for free services when necessary. Employees are expected to embody the organization's values of Compassion, Accountability, Respect, and Excellence, and demonstrate core Success Factors such as instilling trust, valuing differences, and focusing on patient and community collaboration.

Requirements

• Completion of High School with additional math and computer courses.
• Well-developed interpersonal and communication skills.
• Persuasive collection techniques and ability to tactfully set payment arrangement terms.
• Full knowledge of third-party health insurance claims processing, coverage, and documentation requirements.
• Math skills and ability to operate an online computer terminal.
• Knowledge of Accounting Department patient billing systems.

Nice To Haves

• Previous clerical support experience in a high-volume clinic setting.
• Experience with online data entry systems.

Responsibilities

• Completes Hill-Burton application when patient lacks evidence of adequate health insurance coverage.
• Requires patient to sign statement of financial responsibility.
• Assists patient to apply for welfare coverage if no coverage is obtained or if unable to pay.
• Determines eligibility for Rhode Island Hospital free service for clinic visits using a sliding scale.
• Advises Senior Patient Advocate of patients lacking health insurance coverage and/or sufficient income.
• Completes documentation required to initiate commercial insurance, Workers' Compensation, and/or CHAMPUS claims.
• Verifies third-party insurance plan numbers and benefit levels.
• Documents all information obtained in PMAS accounting notes.
• Contacts insurance carriers to obtain treatment authorization and co-payment information.
• Obtains authorization for treatment from health maintenance organizations.
• Discusses existing hospital account balances and arranges payment schedules.
• Requests evidence of coverage or payment ranging from partial to full cost for clinic visits.
• Completes financial information to make payment arrangements when patients are unable to pay.
• Completes lien form and notes in PMAS accounting file upon determination of a liability claim.
• Collects cash/credit card payments for Outpatient/Emergency/Trauma services.
• Posts payments to specific general ledger accounts.
• Prepares bank deposits for pickup by cashier twice daily.
• Determines priority of health insurance coverage.
• Registers all patients online by entering appropriate data into the computer system.
• Embosses identification cards to initiate or update patient hospital records.
• Registers patients for PAC Operating Room, clinics, and ancillary areas.
• Takes APC Operating Room bookings and initiates charge vouchers for outpatient procedures.
• Notifies appropriate security agency of emergency treatments resulting from assaults, gunshot wounds, etc.
• Follows up on third-party documentation from private physician offices and other hospital off-hour ancillary areas.

Benefits

• Equal employment opportunities.
• Work environment free from unlawful discrimination and harassment.

What This Job Offers

• Industry: Educational Services
• Education Level: High school or GED