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About the Role
Front-line Revenue Cycle Team member responsible for the efficient and orderly processing of scheduled cases, reservations, and registrations for various patient types. Performs clerical duties to facilitate patient throughput and access to medical care, while securing financial information for revenue generation. This includes obtaining and recording patient demographics, contact, and insurance information, as well as handling notifications and precertifications.
Responsibilities
- Obtain and record patient demographics, contact, and insurance information.
- Handle notifications and precertifications.
- Verify insurance eligibility and authorization requirements via telephone, fax, web, and electronic verification tools.
- Input subscriber, policy numbers, group name, and plan types.
- Contact employers for Workers' Compensation or No-Fault information.
- Answer telephone calls courteously and respond to inquiries.
- Accept reservations for Direct Inpatient Admissions and Ambulatory Surgery procedures.
- Translate verbal or written diagnoses and procedures into appropriate ICD-9 or CPT codes for authorization.
- Schedule, pre-admit, or admit patients according to policy.
- Enter necessary comments and collection notes.
- Record advanced directive status of patients and collect, chart, and file Advanced Directives.
- Collect patient Discharge Notice Slips and promptly enter discharges in the computer system.
- Assign beds according to established bed priority and use bed tracking tools.
- Coordinate and document intra-hospital patient room transfers.
- Assign patients to a hospital room and bed based on various criteria.
- Obtain patient signatures authorizing treatment, assignment of benefits, and release of information.
- Prepare initial Medical Record Chart, identification bands, and labels.
- Assist families, Funeral Homes, and Coroner's Office with death certificate preparation inquiries.
- Accurately and timely process Birth Worksheets and Birth Certificates.
- Process requests for Newborn Medicaid and Social Security numbers.
- Accurately and timely process Spontaneous Termination of Pregnancy.
- Conduct daily L&D and Maternity Unit walk-throughs to interview patients.
- Review and accurately update or revise facesheets and patient information.
- Report changes in patient information to Utilization Management, Medicaid Office, and other Hospital Associates.
- Prepare Testing Requisitions and affix labels.
- Attach necessary forms to Pre-Admission package.
- Perform all other duties as required.
Requirements
- Must type a minimum of 40 words per minute.
- Use of computers for data entry is a plus.
- Multitasking is necessary.
- Ability to prioritize and reprioritize tasks.
- Able to work well with a team and independently.
- Previous front-line medical office, billing, or hospital registration experience or skills are a must.
- Knowledge of insurance verification process for HMO, MCR, MCD, BC, WC, NF, liability, and traditional indemnity third-party billing and payers is a must.
- Mature, accountable, and punctual.
- Incorporates professionalism, sensitivity to cultural and linguistic diversity, and customer service skills.
- Takes initiative and is proactive when servicing customers.
- Collaborates with and is courteous and respectful to all staff, patients, physicians, nurses, and other clinical staff.
- Flexible and able to process Elective, Amb Surg, Urgent Emergency patient admissions/registrations.
- Electronically checks verification resources to identify if self-pay accounts have insurance.
- Complies with WHMC Sliding Fee and Financial Aid Policies.
- Ensures patients are aware of hospital policies and procedures, including financial obligations, co-payments, deposits, personal items, and visitation rights.
- Offers patients that remain 'true' Self-Pay a Medicaid Document List and refers them to the appropriate Medicaid Office.
- Interviews patients/representatives to obtain demographic and financial/insurance information.
- Maintains patient confidentiality at all times.
- Obtains verification, provides necessary insurance notification, and obtains precertification and authorizations.
- May see blood, other body fluids.
- May see patients who are intubated, using prosthetic devices or limbs, or otherwise in uncomfortable situations.
- May have to deal with family of patients.
Skills
- Typing (40 WPM)
- Data Entry
- Multitasking
- Prioritization
- Teamwork
- Independent Work
- Medical Office Experience
- Billing Experience
- Hospital Registration Experience
- Insurance Verification
- Customer Service
- Professionalism
- Cultural Sensitivity
- Linguistic Sensitivity
- Initiative
- Proactiveness
- Collaboration
- Respectfulness
- Flexibility
- Communication (Verbal and Written)
- Computer Proficiency
- Telephone Etiquette
- Medical Terminology (Desired)
Location
- WHMC
Work Type
- Part Time
Experience Level
- 1 year job-related experience
Education Level
- High School Diploma or equivalent
Salary/Compensations
- $31.0584 - $34.0885