Provide patient account services to include, but not limited to, verifying patient insurance benefits/eligibility, create financial charts, obtain required patient signatures and update logs. Assist with payment collections, post physician charges and other designated administrative tasks.
Essential Functions:
- Verify and document detailed patient insurance benefit and eligibility information in HMS, logs and in financial charts for all inpatient and outpatient services.
- Verify eligibility for all Medicare patients and printout eligibility inquiry.
- Post physician charges into MedHost and keep physician logs updated as applicable.
- Alert Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
- Create financial charts for each inpatient and/or outpatient admission.
- Obtain required patient signatures/data for all services.
- Collect patient payments as identified. All collected payments must be logged in the designated tracking tools and reconciled.
- Assist the Business Office by obtaining insurance claim status for unpaid claims when assigned to a claim status project.
- Complete adjustment forms for any charity or administrative adjustments for approval.
- Update on a daily basis the upfront collection log, charity log, and administrative adjustment log. Review with BOD on a weekly basis.
- Ability to check in/register patients when needed to include financial counseling, payment collections, etc. Provide information to the patients regarding their benefits and financial obligations.
- Perform other functions and tasks as assigned.
Educations/Skills/Requirements:
- High school diploma or equivalent required.
- Two years prior admissions and/or collections experience in a hospital setting required, psychiatric experience preferred.
- Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
- Knowledge of office administration procedures with the ability to operate most standard office equipment.
- Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
- Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
- Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
- Self-motivated with strong organizational skills and superior attention to detail.
- Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.
- Capable of working within established policies, procedures and practices prescribed by the organization.
- English sufficient to provide and receive instructions/directions.
Experience
Required
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2 year(s): Two years prior admissions and/or collections experience in a hospital setting.
Education
Required
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High School/GED or better
Skills
Required
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Customer Focus
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Financial Awareness
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Attention to Detail
Behaviors
Preferred
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Enthusiastic: Shows intense and eager enjoyment and interest
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Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Motivations
Preferred
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Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
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Self-Starter: Inspired to perform without outside help
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)