Team Lead PAS WMCG - Augusta Georgia

Wellstar Health System

22h • Onsite

About The Position

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Requirements

• Minimum 2 years registration or face-to-face customer service healthcare setting.
• CHAA - Cert Healthcare Access Assoc or CPAR - Certified Patient Account Rep or CRCR - Certified Revenue Cycle Rep or CRCR-P - Certified Revenue Cycle Rep - Provisional (90 Days) within 120 Days

Nice To Haves

• High School Diploma General or Associates General-Preferred
• HFMA, NAHAM, AAHAM, CPC or equivalent Upon Hire Preferred
• Minimum 3 years registration or face-to-face customer service healthcare setting. Preferred
• Customer Service
• Basic Computer
• MS Office
• Medical Terminology- preferred

Responsibilities

• Utilizes proper patient identification; properly armband patients.
• Ensures all demographic and insurance information is obtained and correct; scans IDs and insurance cards.
• Sends query for insurance eligibility to validate and accurately document eligibility and benefits.
• Informs patients of in/out of network status, as appropriate.
• Accurately completes the Medicare Secondary Payer Questionnaire on all eligible patients.
• Demonstrates working knowledge of EMTALA, HIPAA, and financial assistance.
• Collects all payments due, including current liabilities, outstanding balances and ABN related amounts.
• Accurately schedules patient follow-up appointments at checkout that best fit the patients schedule in coordination of availability of provider and other resources.
• Performs other duties to ensure reimbursement is received for appointments/services including, but not limited to, obtaining required precertifications, referrals or authorizations and completing medical necessity checks.
• Assists Management in training, ongoing development, and compiling data for evaluations.
• Reviews daily audit, performance statistics and productivity reports.
• Assists staff with work flow questions.
• Assists with training and job shadowing for new staff and cross training of current staff.
• Researches issues such as registration errors and patient dissatisfaction.
• Reconciles liability collections, conducts quality checks on individual deposits.
• Balances log sheets.
• Obtains all necessary patient demographics, insurance, and financial information for provider services rendered at off-site non-affiliated locations (including all referral and authorizations related to encounters).
• Reconciles all encounter forms daily.
• Discusses problems/confidential information appropriately; keeps any confidential documents secure and out of public view.
• Must follow department and System policies and procedures, in addition to all applicable state and federal regulations, including EMTALA.
• Must adhere to physician/departmental scheduling protocols to accurately schedule patients for appointments.
• Strives to achieve point of service collection goals, as established annually.
• Achievement of benchmarks including, but not limited to: greater than registration accuracy rate; insurance verification rate; MSPQ obtained; ABNs obtained.
• Performs other duties as assigned
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Benefits

• Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree