Arranges for the efficient and accurate registration of all patients, offers financial assistance screenings and appropriately handles point of service collection discussions. Obtains required signatures and provides general information regarding hospital policies, registration procedures, benefits, patient rights, and patient financial responsibilities. Responsible for accurate information collection, and providing exemplary customer service, and works well with each department to ensure a seamless, informed, patient/customer service.
JOB DUTIES/RESPONSIBILITIES
Duty 1: Ability to Register/Pre Registers and/or Admit properly identified patients. When registering ED patients, register after the patient has had a medical screening exam completed by a provider. Conducts insurance verification for active eligibility.
Duty 2: Screens, educates and assists patient who may qualify for assistance, including, but not limited to Medicaid, HCAP and Charity. Inform patient of their financial assistance options.
Duty 3: Ability to generate patient estimates and collect insurance copays and patient balances for services received. Informs patient of all payment options. Post payments collected at time of service, for estimates provided pre-service, and/or payments from the USPS. Maintains petty cash safe and documents as necessary.
Duty 4: Conducts medical necessity screening for all Medicare patients. Offers ABN (use a waiver for Medicare Advantage patients) and obtains appropriate signatures as required. Documents activity in the appropriate system fields.
Duty 5: Complete all appropriate forms including, but not limited to: general consent for treatment, HIPAA notice of privacy practices, Surprise Billing Act, IMM, MOON, etc.
Duty 6: Performs QA on accounts from other departments and provides feedback to the educator as needed.
Duty 7: Accurately gather data for scheduling a patient appointment when necessary.
Duty 8: When working 3rd shift in the ER discharge office, complete the bucket process (preparing needed forms and patient itineraries).
Duty 9: Continue to stay informed of any statute and/or regulation that could affect collections for receivables (i.e. insurance company changes, collection regulations, uncompensated care guidelines, etc.)
Duty 10: Acts as liaison between the facility and patient/family to resolve problems and/or address complaints. Explains registration procedures, wait time expectations, hospital policies, and responds to questions/concerns regarding insurance benefits. Has a strong focus and commitment to Service Excellence and Patient Satisfaction.
Duty 11: Participates in a variety of unit and hospital educational programs to maintain current skills and competency levels. Participates in and fully supports new hire and other department training and shadowing. Provides a positive learning environment and compassionate mentoring.
Duty 12: Has ability to problem solve and offers assistance as needed to all customer groups.
Duty 13: Performs all duties and responsibilities in a manner consistent with and supportive of the mission and value statement of Blanchard Valley Health System.
REQUIRED QUALIFICATIONS
High School Diploma or GED equivalent
Exceptional customer service skills required
Data entry and/or PC experience required
Medical terminology coursework or knowledge required
Positive service-oriented interpersonal and communication skills required.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs and to provide the care needed as described in the area's policies and procedures
PREFERRED QUALIFICATIONS
Some related college
Registration, Patient Advocacy and collections experience
PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent standing, sitting, bending, squatting, kneeling, and twisting. This position requires an individual to lift up to 50 pounds occasionally and push patients in wheelchairs (100-350 lbs). The individual must have excellent eye/hand coordination to operate various office machines. This position requires corrected vision and hearing in the normal range.
This position is classified "at risk" for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)
