The position is responsible for ensuring that all patients have an accurate and comprehensive registration and scheduling experience whether through the front desk or call center access points. This position reports to the EDOC Access Manager.
Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. Identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits. Verifies and accurately enters and updates patient information while registering as per departmental guidelines. Reviews insurance eligibility, updates with accurate information obtained from the health plan and releases the insurance based upon
verification process. Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes. Provides patient with receipt of payment. Ensures that all patient access paperwork, as per organizational policies, including patient HIPAA regulation information, patient require signatures and forms that are necessary for service to be completed. Performs the Daily C ash Change Drawer Custodian process.
Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service (if applicable). Requests and scans Insurance cards and other necessary forms of identification. Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements. Coordinates and assists other staff in ensuring that all patients are registered in a timely manner. Performs other duties as assigned.
Previous experience in Healthcare setting and prior Customer Service Experience
Previous Admitting experience or Insurance related position in the Healthcare field of employment.
Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
Computer literate in usage of (Word, Excel, Outlook, etc.)
Knowledge of general Office equipment.
Self motivated, self starter, and able to organize efforts around helping patients have a positive experience.
Skills and strengths in all forms of communications, particularly verbal and written.
Exercises a high degree of initiative, judgment, and discretion.
Analyses situations accurately and takes effective action.
Establishes and maintains effective working relationships.
Excellent customer service skills with patients, co-workers and guests