STATUS: Full-Time, Days, Hybrid
LOCATION: 201 Market St. Suite E And Remote
DEPARTMENT: Communications - Scheduling
SCHEDULE: Variable: Mon - Fri, 7:30a-4p, 8a-4:30p, 8:30a-5p
Key Responsibilities
* Scheduling Procedures:
o Answers phones from patients/customers professionally and responding to patient/customer complaints.
o Performs correct name inquiry and identifies patient according to policy and procedure without errors.
o Schedules patients/customers based on scheduling guidelines and medical appropriateness.
o Receives a high volume of inbound calls with varying degrees of questions and concerns.
o Obtaining and collecting all necessary information from the patient/customer to schedule and register the patient for an appointment.
o Consults with referring physician’s office to ensure written and/or electronic orders exist and obtain them as needed.
o Collects patient financial data, insurance, authorizations, and reference numbers.
o Collects complete demographic information of patient including address, phone number.
o Collects medical information to include patient complaint.
* Revenue Cycle:
o Views insurance card(s) and scans into computer system reviewing for mandatory precertification and/or other third party payer requirements.
o Obtains inpatient/observation patients precertification’s.
o Reworks accounts to ensure accurate patient statuses.
o Collects complete financial information to include payer name, identification number, group number, subscriber name, guarantor name and address, and precertification numbers.
o Selects appropriate financial class and insurance code.
o Performs online real-time eligibility verification and registration scrub via AHIqa and makes changes to registration errors accordingly and in a timely fashion.
o Identifies an
o Screens for insurance eligibility via insurance websites, where appropriate.
o Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients.
o Completes all admission forms required by Medicare.
o Verifies third party payer benefits and Workers Compensation according to departmental policy and procedure.
o Collects any patient-pay balances such as copay, co-insurance, or deductible at time of registration.
o Refers patient to Patient Financial Advocacy Program when appropriate and per departmental procedure.
o Balances cash draw, completes cash receipt, issues patient receipts and secures safe daily with no exceptions.
* Registration / Pre-Registration:
o Interviews the patient and/or family member either in person or by telephone to collect demographic, financial, and medical information.
o Performs correct name inquiry and identifies patient according to policy and procedure without errors.
o Collects complete demographic information of patient including address, phone number, and employer.
o Collects medical information to include patient complaint.
o Explains consent information, obtains signatures, witnesses (legibly) with no omissions.
o Obtains copy of patient identification document(s).
o Completes registration process within five minutes for preregistered patients and ten minutes for non-preregistered.
o Contacts physician offices to obtain and confirm patient information.
* Customer Service:
o Practices proficient customer service skills by greeting and treating all patients and staff with respect and discretion.
o Capable of empathizing with the circumstances of patients and families while maintaining an objective approach to the disposition of each account.
o Provides and explanation of any patient wait and responds to all patient requests. Notified manager of any patient wait times longer than 15 minutes.
o Greets each patient and identifies self by name and role.
o Notifies the manager of incidents, errors or patient complaints.
o M sustains patient privacy and confidentiality at all times according to established procedures.
o Assesses environment for safety hazards, which could harm patients, visitors, or other hospital employees and reports any found to facilities/housekeeping/manager.
o Exhibits professionalism in appearance, speech and conduct.
* Development:
o Provides orientation and training of new staff.
o Attends Patient Access Meetings, Training Sessions, etc.
o Attends and actively participates in required and voluntary in-service educations.
o Participates in performance improvement within the organization and department.
Attributes
* Associate’s degree or higher in healthcare administration, business administration, or related field desired.
* At least 1-3 years of customer service, administrative, and/or data entry experience preferred.
* One to two years of previous experience in hospital related field preferred.
* Experience with database software applications desired.
Knowledge / Skills / Abilities / Essential Job Functions
* Basic knowledge of the following:
o Medical Terminology
o EHR Programs (e.g., Meditech, eClinicalWorks, Medhost)
o ICD-10, CPT, HCPCS codes and coding processes
o Hospital billing processes and reimbursement
* Incumbent must possess superb customer service, teamwork, and conflict resolution skills.
* Ability to learn and operate computer systems, printer, fax.
* Strong attention to detail.
* Efficient time management skills and ability to multi-task.
* Excellent writing, oral, and interpersonal communication skills.
* Exceptional organizational, planning, coordination and collaborating skills.
* Strong understanding and comfort level with computer systems.
* Ability to work under stress.
* Work in fast pace setting.
* Critical thinking skills.
* Knowledgeable of HIPPA regulations.
Required Attributes
* High School Diploma or GED required.
Licensure and/or Certification Requirements
N/A
Physical Requirements
S - Sedentary Work - Exerting up to 10 pounds of force occasionally. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Pay Range
$19.46 - $28.55
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