Patient Accts Rep Amb_IBT

Brown Medicine•Cranston, RI

1d•Onsite

About The Position

Under general supervision and in accordance with established credit policies and procedures, interviews and registers patients for Emergency/Trauma Center or ambulatory treatment. Obtains demographic, third-party insurance, and related financial information and enters it into the online computer system. Completes third-party documentation, discusses existing balances for previous hospital services, and makes preliminary determinations regarding welfare eligibility. Requests cash deposits approximating charges for scheduled services, applicable coinsurance, or required copayments for clinic visits and outpatient ancillary services. Arranges payment terms, contacts the Patients Accounts Advocate when applicable, and determines eligibility for free service when necessary. Brown University Health employees are expected to role-model the organization's values of Compassion, Accountability, Respect, and Excellence. Employees are also expected to demonstrate the core Success Factors: Instill Trust and Value Differences; Patient and Community Focus; and Collaborate. This position works at Rhode Island Hospital. The listed work schedule is Monday, Wednesday, Thursday, and Friday, 6:30 a.m. to 5:00 p.m. The role is represented by the International Brotherhood of Teamsters and does not require driving.

Requirements

High school completion, with additional mathematics and computer courses.
Well-developed interpersonal and communication skills to obtain patient information and deal effectively with the public at the point of contact.
Persuasive collection skills and the ability to tactfully establish payment arrangements and collect money.
Full knowledge of third-party health insurance claims processing, coverage, and documentation requirements.
Mathematics skills and ability to operate an online computer terminal.
Knowledge of Accounting Department patient billing systems.
Six to twelve months of previous clerical support experience.
Previous experience with an online data-entry access system.

Nice To Haves

Clerical support experience in a setting demonstrating the ability to function effectively in high-volume clinics.

Responsibilities

Complete Hill-Burton applications when patients lack evidence of adequate health insurance coverage, according to established criteria for uncompensated hospital services.
Obtain patients' signatures on statements of financial responsibility.
Assist patients in applying for welfare coverage when they have no coverage or cannot pay.
Determine eligibility for Rhode Island Hospital free service for clinic visits using established sliding-scale guidelines.
Advise the Senior Patient Advocate about patients lacking health insurance coverage or sufficient income to reimburse the Hospital for services.
Complete documentation to initiate commercial insurance, Workers’ Compensation, and/or CHAMPUS claims.
Verify third-party insurance plan numbers and benefit levels, and document information in PMAS accounting notes.
Contact insurance carriers as needed to obtain treatment authorization and copayment information.
Obtain treatment authorization from health maintenance organizations and verify coverage as needed.
Discuss existing Hospital account balances and arrange payment schedules.
Request evidence of coverage or payment, from partial to full cost, for clinic visits or a treatment series; obtain financial information to arrange payment when patients cannot pay in full.
Complete lien forms and record information in the PMAS accounting file when a liability claim exists.
Collect cash or credit card payments for outpatient, Emergency, and Trauma services when possible.
Post payments to the appropriate general ledger account.
Prepare bank deposits for cashier pickup twice daily.
Determine the priority of health insurance coverage.
Register patients online by entering appropriate information into the computer system and emboss identification cards to initiate or update Hospital records.
Register patients for PAC Operating Room, clinics, and ancillary areas in ambulatory registration.
Take APC Operating Room bookings and initiate charge vouchers for outpatient procedures.
In Emergency Department registration, notify the appropriate security agency of emergency treatments resulting from assaults, gunshot wounds, animal bites, accidents, and similar incidents, according to Rhode Island State Department of Health regulations.
Follow up on third-party documentation from private physicians’ offices and other hospital off-hour ancillary areas.