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Supervises employees engaged in scheduling, registration, insurance and procedure guidelines verification, verifying practitioners’ orders, admitting, and/or transferring outpatients, inpatients, and/or Emergency Room patients. Ensures that documentation is accurate, financial information is verified, and provides information to appropriate units in a timely manner.
Job Responsibility:
Performs supervisory functions: prepares work schedules, assigns staff, observes and reviews performance to provide input to formal evaluations, makes recommendations for personnel actions, assists in staff selection, provides orientation, training and ongoing in-services for staff, and schedules and supervises Patient Access Services functions/activities so as not to interrupt or interfere with patient care activities
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
adheres to and supports staff in exhibiting TMCH values of integrity, community, compassion, and dedication
Demonstrates and upholds established standards of behavior, safety, and confidentiality, as well as TMCH and department policies and standards
ensures compliance with all applicable regulatory requirements
Provides input for budget preparation and monitors/controls expenses within approved budget allocations
Compiles and distributes information regarding patient’s personal, insurance, and financial status
Provides appropriate forms to billing and other departments
Maintains department records, reports, and files as required
Authorizes written and/or verbal inquiries to third party payers to reconcile patient accounts
Interprets and explains hospital policy regarding charges and payment of bills to employees, patients, and their representatives and may collect deposits or deductibles as required
Maintains current knowledge of regulatory requirements and practices related to patient billing processes
Ensures notification of ancillary and admitting departments of affected patient’s charges, cancellations, and/or problems, which may affect patient care quality, when necessary
Oversees the process of notification to Manager Access Financial Services when financial counseling intervention is indicated for potential uncompensated care
Schedules procedures, participates in pre-registration and financial verification of patients, when necessary to ensure the smooth workflow of the unit
Implements CPT and other coding systems with periodic review
maintains current coding knowledge
Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies and standards
Performs related duties as assigned
Requirements:
Associates Degree (A.A.) or equivalent from an accredited two-year college or technical school, or an equivalent combination of relevant education and experience
Four (4) years related medical billing, insurance, healthcare documentation, and/or scheduling experience, preferably in a lead or supervisory role
Knowledge of hospital billing, insurance and scheduling processes and procedures
Knowledge of medical terminology and coding
Skill in the use of computer applications such as: Excel, Word, Internet, e-mail, and terminal emulator programs
maintains basic knowledge of networked computer systems
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
Possesses and maintains knowledge of current regulatory and third party payer changes with respect to authorizations, verification requirements to support billing reimbursement
Ability to write reports, business correspondence, and procedure manuals
Ability to effectively present information and respond to inquiries or complaints from employees, patients, and/or their representatives, and the general public
Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs
ability to apply basic algebraic concepts
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Ability to solve problems involving several concrete variables in standardized situations