Detailed understanding of all technical primary and secondary billing rules and policies and procedures for assigned third party payors and contracts. Understands the Medical and Clinical services provided by the organization.
Screen registrations for sensitive diagnosis and obtain special release according to established hospital policy.
Negotiate financial resolution through proper sequencing of resolution options and patient's ability/willingness to pay. Following established guidelines, obtain appropriate signatures to satisfy legal or health system requirements and complete required forms including MSP screening.
Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested.
Consistently and accurately documents accounts with activities as needed in a timely manner.
Obtain physician orders/instructions and contact physician office and/or other hospital department to resolve access issues as necessary.
Identify managed care provisions and follows up with appropriate parties to resolve outstanding issues.
Effectively functions as liai
Benefits
Health insuranceVision insurance
Additional Information
Position Status:
Full time Shift:
First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week:
40 Job Information
Exemption Status: Non-Exempt
A Brief Overview
The individual in this role is a key member of the Registration management team responsible for assisting the Registration Supervisor in supervising day-to-day Registration activities during assigned hours and assisting in the communication of registration information to decentralized registration areas. The incumbent is a resource person providing education, guidance and direction to registration staff during assigned shift while also responsible for scheduling patients and completing registration functions including collecting/validating/updating the patient's comprehensive data set and documenting the registration system, completing electronic verification, identifying managed care issues and referring as appropriate for resolution, obtaining appropriate signatures to satisfy legal or health system requirements and completion of require forms including Medicare MSP, if required, completing financial education and finalization of financial resolution with patients, completing additional registration admission, discharge, transfer functions and resolving edit failures following established policies and procedures. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.
Education Qualifications
High School Diploma / GED Required
Experience Qualifications
2 years Experience in a clinical healthcare setting such as physician's office or hospital relating to patient financial services, patient registration, patient scheduling or related healthcare experience . Required
Skills and Abilities
Working knowledge of basic medical terminology. (Required proficiency)
Detailed knowledge of major third-party billing and contract. (Required proficiency)
Keyboarding skill or typing skill of at least 30 wpm. (Preferred proficiency)
Excellent interpersonal and Communication skills and the ability to exhibit patience. Sophisticated customer service skills. (Preferred proficiency)
Analytical skills necessary for effective problem solving. (Preferred proficiency)
Ability to handle multiple tasks and make independent decisions regarding work prioritization and coordination. (Preferred proficiency)
Stormontvail · Topeka, KS