PreArrival Associate - Patient Access - FT Days (61451)

ANDERSON HOSPITAL • Maryville, IL

12d • $16 - $25 • Onsite

About The Position

Responsible for verifying and determining insurance eligibility, obtaining appropriate authorizations, and confirming patient financial responsibilities prior to patients presenting for a scheduled service. This includes contacting scheduled patients to complete pre-registration, advising them of financial responsibilities, collecting patient liabilities, and presenting available payment options or referring them to the Patient Access Outpatient Manager. The role requires a thorough understanding of insurance plan requirements, the hospital's financial assistance policy, and available payment options, as well as proficiency in necessary software for registration and collection processes. This position is also responsible for documenting all steps and required information regarding patient authorization and liabilities using the pre-arrival software. Excellent customer service is essential due to the extensive patient counseling and communication with physician offices required.

Requirements

• High school diploma or equivalent.
• Prior Patient Access experience is required.
• Prior Customer Service experience is required.
• Prior Experience as a Patient Access Associate.
• Typing skills of 40-50 wpm.
• Excellent communication and customer service skills needed.
• Computer and organizational skills.
• 1-2 years of registration experience with a detailed knowledge of insurance companies required.

Nice To Haves

• Medical Terminology course or background preferred.
• Collection experience a plus.

Responsibilities

• Works daily from a work list to review scheduled patients for insurance eligibility, authorizations, and financial responsibilities.
• Uses Community Wide Scheduling (CWS) documentation to ensure all add-ons, stats, and changes are included in the daily work list.
• Selects patients from the work list to review demographic and insurance eligibility/benefit information, making necessary adjustments to the program.
• Understands insurance plan benefits to determine any discrepancies.
• Ensures the work list is reviewed at least two days in advance, striving to work up to five days ahead.
• Uses software to direct patient information to a payer center for benefit review when the system does not populate automatically.
• Ensures physician information is correct and notifies schedulers of any inaccuracies.
• Determines insurance authorization by contacting insurance companies online or directly, and contacts physician offices for additional information if needed.
• Reviews stats, add-ons, and changes immediately to determine if authorization requirements can be met prior to service.
• Communicates any issues to the service department immediately.
• Performs the pre-registration process, reviewing demographic information and financial responsibilities with the patient prior to service.
• Collects patient liabilities over the phone via credit card and discusses payment options, payment plans, medical loans, or refers patients to the Financial Counselor.
• Works with the Financial Counselor to determine which patients should be submitted for after-hours assistance.
• Reviews spreadsheets the next day to determine patient communication status and any further steps needed for the day of service.
• Communicates with the Financial Counselor when patients cannot meet financial responsibilities prior to service, providing previously obtained information.
• Understands cashier responsibilities and balancing the drawer at the end of each day.
• Prepares documentation and information for registration staff regarding prior communications and financial responsibilities.
• Documents all steps and comments into appropriate systems for informed parties and complete tracking reports.
• Performs other miscellaneous assignments and/or duties as related to the position.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED