About this role
Position Summary:
This position is responsible for scheduling, financially clearing, and pre-registering patients via telephone. This position is also main point of contact for physician referrals to the clinic. This position includes obtaining and entering demographic and insurance information . This employee will place daily calls to various insurance companies for authorization/notification and benefits verification purposes. Other required duties include point of service cash collection, close interaction with internal and external administrative liaisons and additional obligations as assigned.
Work Schedule:
Varied shifts, Monday through Friday. May include some weekends dependent on business need.
Primary Duties:
- Schedules / pre-registers patient which includes obtaining and entering demographic and insurance information.
- Financially clears patients which includes verifying insurance and benefit information per the patient’s insurance plan.
- Contacts various insurance companies on a daily basis for insurance authorization/notification and verification purposes.
- Calls patient to advise of any deductible or co-pay due at time of appointment.
- Accesses and utilizes various online resources for benefits verification purposes.
- Ensures all requested patients from a facility have been pre-registered in a timely manner.
- Ensures all POS cash is collected and posted according to the policy and procedure guidelines outlined in the department.
- Refers patients with financial issues who are unable to make appropriate payment arrangements to the facility financial counselor for handling.
- Interacts with various internal and external administrative liaisons.
- Knowledgeable of Managed Care as well as Medicare, Medicaid and other third-party payers. Performs all other duties as directed to provide the most efficient service to the hospital in a manner that supports and/or supplements the overall effectiveness of the department and the hospital. Coordinates with Patient Support Specialists and other clinic departments to coordinate patients.
- This position is designated as a safety sensitive position because of the essential duties of the job involves critical medical care to patients. A lapse in attention to detail may constitute a threat to health or safety resulting in injury, illness or death. This position is required to work in a constant state of alertness in a safe manner.
Qualifications
Qualifications/Specifications:
- Education: High School diploma or GED required.
- Licensure/Certification: None required.
- Experience: Minimum of three years’ experience in a related field (i.e., patient admissions, registration, insurance verification). Previous healthcare experience preferred.