About this role
Obtain and verify appropriate personal, demographic and financial information for the purposes of ensuring (1) Quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. (3) Scanning the appropriate identification documents into OnBase. Obtain EMTALA notification signature. (4) Notify clinical staff when patients present with critical condition. (5) Once verified places appropriate insurance information on account.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: High School Diploma, Associates Degree preferred or equivalent combination education and experience.
YEARS OF EXPERIENCE: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the Hospital Medical Staff rules and infection control policies to be effective in this position.
REQUIRED SKILLS AND KNOWLEDGE: Analytical skills required to make decisions based on the facility and clinical situation at hand.
Computer Literacy – use of multiple systems
Epic, Passport, OnBase, Microsoft Office products and Midas.
Ability to use Internet Access and utilize third party payor systems for eligibility and verification.
Knowledge of health insurance coverage, requirements.
Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial. Ability to be flexible, organized and function well in stressful situations. Ability to interact Independently to resolve Customer Service issues.
Must understand medical terminology and acuity levels.
LICENSES & CERTIFICATIONS:
Annual Registration Competency Review with 95% or greater score obtained.
Yearly STAT testing completed.