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This position conducts registration, point of service collections and obtains authorizations and forms needed to maximize reimbursement. Document all facets of the registration process and meet accuracy goals as determined by management. Collect payments and meet regular collection targets as determined by management. Demonstrates the ability to collect payments, to resolve customer issues and provide excellent customer service. Perform financial counseling when appropriate.
Job Responsibility
Performs pre-registration/registration processes, verifies eligibility and obtains authorizations, submits notifications and verifies authorizations for services
Verifies patient's demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s)
Obtains federally/state required information and all consents and documentation required by the patient's insurance plan(s)
Must be able to consistently meet monthly individual accuracy goal as determine by management
Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service or during the pre-registration process
As assigned collection attempts may be made at the bedside
Must be able to consistently meet monthly individual collection target as determined by management
May provide financial counseling to patients and their families
Explains company financial policies and provides information as to available resources
Assists patients with applying for Medicaid
Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program)
Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals, resolve outstanding issues and/or patient concerns and maximize service excellence
Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns
Work to meet the patient's needs in financial services
Consistently meets monthly individual productivity goal as determined by management
Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately
Identifies opportunities to improve process and practices good teamwork
Provides a variety of patient services and financial services tasks
May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards
Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day
Requirements
High school diploma or GED required
Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience
Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently
Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required