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About the Role

This role serves as the first point of contact, ensuring a positive experience for patients and visitors. It involves gathering essential patient information for billing, verifying insurance, coordinating payments, and addressing patient inquiries to enhance their healthcare journey.

Responsibilities

• Interview patients and/or their representatives to obtain complete and accurate demographic, financial, and insurance information.
• Conduct screening of patients for pre-certification requirements and provider service eligibility.
• Obtain all necessary customer consents and attestations.
• Coordinate the collection of estimated patient liabilities, including co-payments and deductibles.
• Verify insurance benefits and coverage for inpatients and outpatients.
• Respond to customer requests and answer questions regarding service and account information.
• Analyze and rectify customer concerns using established procedures.
• Use computer systems to access and update customer records.
• Verify and post transactions.
• Sort and file various documents.
• Assist with general hospital information and directions.
• Establish financial arrangements to reduce financial risk for the health system.
• Receive requests for reservations (patient scheduling) from physicians' offices and make necessary pre-admission arrangements.
• Enter all patient information into the registration system.
• Obtain all necessary signatures and be knowledgeable regarding special forms required by third-party payers.
• Read physicians' orders to determine requested procedures and instruct patients accordingly.
• Escort or arrange for patients to be escorted to procedure areas and assigned rooms.
• Make corrections and updates to patient account information in the computer.
• Obtain new medical record numbers for newborn admissions and other new patients.
• Document thorough explanatory notes on patient accounts concerning non-routine circumstances.
• Maintain a working knowledge of available information system capabilities and perform required system applications.
• Understand and apply health system philosophy, objectives, and policies related to assigned duties.
• Understand the admission, outpatient, and emergency registration process.
• Maintain confidentiality of patient information in accordance with policy and HIPAA regulations.
• Organize work, recognize and establish appropriate work priorities, and complete work productively.
• Maintain proficiency in data entry skills.
• Assist physicians and their office staff to expedite scheduling, pre-admission, Medicaid screening, and pre-certifications.
• Resolve errors and applicable Claim, DNB, and Patient WorkQueues.
• Greet all guests with a positive and professional attitude.
• Receive patients' valuables for safekeeping in the hospital safe.
• Answer incoming phone calls and follow through with requests.
• Maintain courteous and cooperative working relationships with management, patients, physicians, and the general public.
• Present a well-groomed and professional image.
• Create first impressions and memorable moments that fulfill patient and family needs.
• Value patients and family members as partners in their care.
• Deliver high-touch care that is reliable, responsive, and coordinated.
• Focus on constant innovation and creating improvements.
• Celebrate diversity with sensitivity and understanding.
• Embrace the idea of being owners of the health system.
• Attempt to collect estimated self-pay balances for all inpatient, outpatient, and ER accounts.
• Monitor in-house accounts and attempt to make financial arrangements for payment of self-pay balances.
• Complete financial evaluation forms to document guarantors' income, expenses, assets, and liabilities.
• Identify patients without adequate insurance coverage and determine potential eligibility for financial assistance programs.
• Maintain a list of healthcare financial assistance programs and their eligibility requirements.
• Refer patients/guarantors to sources of outside funding assistance as needed.
• Work efficiently and accurately within designated time frames to ensure continuity of information and cash flow.
• Contact scheduled patients at home to obtain pre-admission information, explain financial policies, and estimate self-pay balances.
• Interview inpatients and select outpatients at time of registration to verify insurance and financial information.
• Document concise and understandable notes regarding all self-pay account collection activity.
• Coordinate financial counseling activities with relevant departments.
• Verify insurance coverage and benefits.
• Exceed monthly quotas on a consistent basis.
• Formally report results of self-pay collection activity to supervisor.
• Provide feedback to management concerning self-pay collection and data integrity issues.
• Complete appropriate error/issues in WorkQueues.
• Identify and resolve Payor Denials.
• Observe work hours and provide proper notice of absences, tardies, and work schedule changes.
• Attend departmental meetings as requested.
• Complete mandatory training as required.
• Perform other duties as assigned.
• Comply with all health system policies, standards of work, and code of conduct.

Requirements

• Minimum 1 year in healthcare, or institutional (corporate) work setting.
• Patient Access Services (PAS) Operations Onboarding Training with a minimum passing score on the final exam within 45 days of hire.

Skills

• Computer/data entry experience.
• Ability to communicate with various members of the healthcare team.
• Effective communication skills (both written and verbal).
• Attention to detail.
• Self-directed.
• Positive attitude.
• Effective problem-solving skills.
• Critical thinking skills.
• Working knowledge of patient registration systems (preferred).
• Intermediate Microsoft Office Suite (preferred).
• Epic experience (preferred).

Location

• Day (United States of America)

Work Type

• Full-time

Experience Level

• 1+ year

Education Level

• GED or High School Diploma

Benefits

• Support to do more meaningful work
• Rewarding life

About the Company

• Wellstar's mission is to enhance the health and well-being of every person they serve.
• They are a shining example of what's possible when professionals dedicate themselves to making a difference in the healthcare industry.
• Connect with the most integrated health system in Georgia.