Under limited supervision; determines need for and obtains authorization for treatment / procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. Provides estimated costs and patient responsibility, facilitating collection of co-pay, deductible and private pay balances. Responsible for the complete and accurate collection of patient demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines preliminary patient and insurance liability. Performs account analysis, problem solving and resolution of patient account issues. Initiates billing and rebilling of accounts as appropriate.ESSENTIAL DUTIES AND RESPONSIBILITIES
Interviews patients and gathers information to assure accurate and timely claims submission.
Interprets information collected to determine and create comprehensive visit-specific billing records.
Determines need for and obtains authorization for treatment/procedures and assignment of benefits as required.
Maintains competency by participating in on site and external training opportunities.
Utilize skills gained from training sessions to improve and enhance their work processes and customer interactions.
Provides information to patients concerning hospital policies and regulatory requirements utilizing effective interpersonal and guest-relations skills.
Provides assistance to other Health System or physician offices staff regarding registration, insurance verification and authorization requirements and processes.
Explains accounts to patients and translates registration and billing issues to patient understanding. Identifies opportunities to improve the quality of registration, billing or verification procedures.
Responds to patient questions concerning insurance coverage, benefit coverages for their insurance plans.
Demonstrates accountability to follow-up with patients concerning requests for information or action regarding their account. Knows where to obtain information to assist PFS team members, patients, internal and external customers.
REQUIRED EDUCATION, EXPERIENCEEducation:
Requires high school diploma or equivalent.
Experience:
One or two years related experience.
REQUIRED SKILLS AND ABILITIESDemonstrated computerized system application experience.
Critical thinking and problem-solving skills.
Analytical ability to affective and efficiently resolve registration, insurance and claims processing issues.
Demonstrated knowledge of revenue cycle processes and terminology.
Interpersonal skills to effectively communicate with patients, team members, clinical colleagues, medical staff, third party providers, and external agencies and contacts.
Exceptional customer service skills and positive personality attributes.
Patience in dealing with ordinary, arduous or emotional patients.
Use of telephones.
WORKING CONDITIONS
Normal office environment.Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.