Patient Intake Specialist

Eisenhower Health•Rancho Mirage, CA

2d•$19 - $29

About The Position

The Patient Intake Specialist is responsible for patient scheduling, accurate registration, insurance verification, authorization and pre-certification, communicating financial responsibility, financial aid, point-of-service collections, cash-pay quotes, and customer service. The role serves adult and geriatric patients and works in the Pre-Reg/Scheduling department on a full-time day shift, with an 8-hour shift and 40 hours per week. The position reports to a supervisor, manager, or director and does not supervise others.

Requirements

High school diploma or GED; a higher-level degree is acceptable for hires after March 1, 2025.
Ability to operate general office equipment, including a computer, printer, scanner, and telephone.
Computer literacy, including use of Word, Excel, and Outlook.
Excellent customer service and verbal and written communication skills.
Knowledge of insurance eligibility, benefit coverage, and authorization/pre-certification.
Knowledge of medical terminology, payment processing, hospital-based federal rules and regulations, procedures, and safety practices.
Proficiency with various uninsured-patient linkage programs.
Successful completion of the Department Insurance 101 Program.

Nice To Haves

Healthcare or customer service experience.

Responsibilities

Comply with the Code of Conduct and compliance policies, resolve compliance questions or concerns, and report suspected violations.
Schedule patients accurately and follow up appropriately on callbacks, faxed orders, and orders submitted through the order facilitator.
Identify patients using the proper method for retrieving history and information, avoiding duplicate medical records for additional visits.
Register patients, verify and update information, and follow departmental guidelines and benchmark requirements.
Review insurance eligibility, update accounts with information obtained from health plans, and release insurance according to the verification process.
Identify and collect copayments and deductibles based on insurance eligibility or uninsured cash-discount quotes for outpatient services and inpatient admissions.
Complete required HIPAA-related information appropriately.
Prepare applicable Medicare Advanced Beneficiary Notices (ABNs) and meet LMRP program requirements, including patient notification and signatures at the time of service.
Complete Medicare Screening Forms for Medicare patients according to Medicare requirements.
Obtain required insurance authorization and pre-certification to support correct payment from health plans.
Inform patients about insurance benefit coverage and their financial responsibility.
Provide cash quotes to patients who qualify for an uninsured discount.
Provide patients and/or families with available financial-assistance linkage programs.
Follow department policies and procedures and complete department and job training orientation programs.
Maintain a registration error accuracy rate of 95% or higher and meet other departmental accuracy and productivity standards.
Complete required training courses.
Attend and participate in staff meetings.
Perform other duties as assigned.