group
Category
Administrative Support
business
Department
EDOC Pain Clinic (Hope Square)
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA 92270
info
Job #
R0253520
  • Job Objective: A brief overview of the position.
    • The position is responsible for excellent Customer Service, Accurate Registrations, Accurate Insurance, Point of Service Collections, Financial Responsibility
  • Reports to
    • Supervisor, Manager, Director
  • Supervises
    • N/A
  • Ages of Patients
    • Neonate/ Infant
    • Pediatric
    • Adolescent
    • Adult
    • Geriatric
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • N/A
    • Licensure/Certification
      • N/A
    • Experience
      • Preferred: Previous experience in Healthcare setting and prior Customer Service Experience
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Completes Admitting training orientation program(s).
    • Completes all required training courses.
    • Maintains registration error accuracy rate of 97% or higher. Demonstrates and maintain all other departmental accuracy and productivity standards.
    • Identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
    • Registers patients and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
    • Demonstrates an advanced knowledge of insurances, including eligibility, benefit coverage, authorization/pre-certification, and other relevant information.
    • 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 for emergency, outpatient services, and inpatient admissions. Provides patient with receipt of payment.
    • Ensures that all patient access paperwork, as per organizational policies, including patient HIPAA regulation information, patient required signatures and forms that are necessary for the appropriate department services to be completed.
    • Participates in the rotation of the Daily Cash Change Drawer Custodian process, as requested.
    • Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements and completion, including patient notification and signature requirements at time of service.
    • Requests and scans Insurance cards and other necessary forms of identification as necessary.
    • Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
    • Ensures that all required insurance authorization/pre-certification has been attained to ensure correct payment from the health plan.
    • Ensures that patients are aware of the insurance benefit coverage and their financial responsibility.
    • Assists in mentoring staff regarding insurances, benefits and eligibility information within the department as needed.
    • Acts as a liaison with physicians, nurses, social services and utilization review personnel to provide financial counseling resources for patients and patient family members.
    • Review AETS reports, make necessary corrections as noted and clear AETS errors on a timely basis, ensuring account accuracy and maximum billing reimbursement
    • Coordinates and assists other staff in ensuring that all patients are registered in a timely manner.
    • Performs all other duties as assigned.
       

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