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Jobing Description
Essential Functions
Under the direction of the Director/Supervisor/Lead:
Understands the importance St. Cloud Regional Medical Center places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
Demonstrates a positive and professional approach and communicates effectively with customers and employees at all times.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information
Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.
Explains necessary forms and obtains signatures from patient/guarantor.
Contacts appropriate payers, verifying benefits and obtaining necessary authorizations.
Explains insurance benefits and collects co-pays, deductibles and self pay portions due.
Documents authorization and benefit information in registration system.
Assembles patient record and obtains copies of relevant documents including insurance cards, photo identification cards and any advance directives.
Demonstrates a basic knowledge of third party reimbursement requirements and regulations.
Exhibits competency in the use of all registration systems, electronic verification tools and Web based resources.
Follows Patient Financial Services self pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due.
Follows Patient Financial Services policies related to cash handling.
Performs basic individual cashiering functions.
Collects and inventories patient valuables following policy guidelines.
Maintains basic understanding of the medical necessity screening process and appropriate systems.
Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
Maintains departmental logs for statistical reporting.
Exhibits competency in the use of the telephone system, scanners, printers, copy machine, fax machine, and paging systems.
Consistently meets Quality Assurance standards set by the department.
Meets departmental goals regarding collections, productivity and customer service.
Adheres to all portions of the Patient Business Professional Appearance Policy at all times.
Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs.
Meets federal, state and hospital requirements related to compliance issues.
Attends and participates in department staff meetings and attends other meetings as assigned.
Responsible for reviewing and adhering to all Patient Financial Services and departmental education initiatives.
Meets all corporate and Patient Financial Services annual recertification and education requirements.
Assists his/her manager in planning and organizing department activities.
Performs other duties as assigned.
Other Related Functions
Meets all additional requirements related to job duties and all certification/education requirements as set by the corporation and Patient Financial Services. Performs all other duties as assigned.
Skills / Requirements
EDUCATION
High school or GED
Ability to read, write and speak English
Knowledge of state, federal, JCAHO regulations
EXPERIENCE
2 years experience
Working knowledge of UB92, 837I and/or CPT, HCPCS and ICD-9 codes and HIPAA transaction standards.
SKILLS
Organizational
Verbal/Follow verbal instructions
Interpersonal
Customer Relations
Grammar/Spelling
Read/Comprehend/Follow written instructions
Computer type 35 wpm
Important Notes
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