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Job Objective: A brief overview of the position.
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The position is responsible for ensuring that all patients have an accurate and comprehensive scheduling, and registration experience in the office
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Customer Service – Ensures that all patients have a satisfying registration experience and are provided with choices, option and counseling to assist them in making their healthcare decisions.
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Accurate Registrations – Ensures accurate, comprehensive registrations of patients
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Accurate Insurance – Ensures accurate patient insurance information is recorded including verification of eligibility and benefits
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Point of Service Collections – Ensures that patient financial responsibility (co-pays, deductibles) is collected at or before the time of service
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Reports to
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Supervisor, Manager, Director, CAO
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Supervises
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Not Applicable
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Ages of Patients
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Neonate/ Infant (as appropriate for department)
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Pediatric (as appropriate for department)
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Adolescent (as appropriate for department)
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Adult
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Geriatric
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Blood Borne Pathogens
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Minimal/Moderate Potential
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Qualifications
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Education
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Preferred: High School Diploma/GED or equivalent work experience
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Licensure/Certification
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N/A
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Experience
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Preferred: Previous experience in Healthcare setting and/or Customer Service Experience
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Preferred: Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
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Essential Responsibilities
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Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
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Properly greets patients.
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Properly identifies patients by using two patient identifiers and proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
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Registers patients following standard work and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
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Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
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Properly completes check in process and/or verifies e-Check in is complete
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Confirm all insurance information is accurate and up to date.
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Scan photo ID and insurance card.
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Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service.
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Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
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Ensures all patient access paperwork per policy, including regulatory forms, insurance verifications and signatures required to perform service are collected and complete.
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Collects co-pay/deductible/form fees or any appropriate estimates and provide patient with receipt of payment.
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Answers and properly routes all incoming calls in an appropriate and timely manner, ensuring a high level of customer service is provided at all times.
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Responsible for collecting and routing incoming faxes and messages, per specific clinic guidelines.
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Performs daily cash balancing per department guidelines.
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Maintains registration error accuracy rate of 97% or higher, signaling a proper and complete registration. Demonstrates and maintain all other departmental accuracy and productivity standards.
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Ensures that all patient complaints or concerns are handled using the appropriate chain of command.
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Ensures compliance with department specific guidelines and competencies.
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Successfully completes all required training, orientation, and competency courses on timely basis.
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Demonstrates a basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information.
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Provides accurate cash price/quote to self-pay patients.
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Follows the identified dress code and safety protocols to ensure patient and employee safety.
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Maintains and practices professional boundaries with all patient interactions.
- Performs other duties as assigned.
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
