group
Category
Administrative Support
business
Department
Glenn Jabola M.D.
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA
info
Job #
R0252679

  • Job Objective: A brief overview of the position.
    • Process patients timely and accurately through the pre-registration, re-registration and/or re-verification process for inpatient and out-patient services.
  • Reports to
    • Manager/Supervisor
  • Supervises
    • None
  • Ages of Patients
    • Neonate/Infant
    • Pediatric
    • Adolescent
    • Adult
    • Geriatric
  • Blood Borne Pathogens
    • Minimal/No Potential
  • Qualifications
    • Education
      • Required: High School Diploma
      • Preferred: Associate Degree or higher
    • Licensure/Certification
      • None
    • Experience
      • Required: One year experience in an accredited hospital or physician’s office preferred
      • Preferred: 2 years experience in healthcare setting
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations.
    • Schedules patients with accurate information into computer system according to policy and procedure
    • Monitors every hour received faxes for procedures to be scheduled.
    • Follows up with unreached patients, on a daily basis.
    • Utilizes ACD phone system effectively and appropriately.
    • Reports duplicate names to appropriate person when duplicates are located.
    • Attends mandatory monthly staff meetings.
    • Review AETS reports, make necessary corrections as noted and clear AETS errors on a timely basis, ensuring account accuracy and maximum billing reimbursement.
    • Introduces self to patient/caretaker and briefly explains the pre-registration process. Follows customer service guidelines outlined through the customer service program.
    • Consistently maintains 95% accuracy rate on registration audits.
    • Accurately enters/updates all patient demographic and insurance information, including insurance, benefits information and patient liability data into appropriate system(s) in a reasonable amount of time as established by department guidelines and supervised observation.
    • Ability to identify insurance coverage and knowledgeable of payer requirements for hospital and/or physician services.
    • Explains patient liability to patient and assists in payment process when requested.
    • Collects payments and documents in appropriate screens and completes applicable reconciliation process as indicated according to department policy and procedures.
    • Appropriately refers patients requiring financial counseling.
    • Monitors reports/worklists to ensure all patients are pre-registered/re-registered/re-verified prior to service delivery. Follow up with insurance companies to obtain resolution of coverage issues and/or the provider to advise of patient situation.
    • Reviews the patient registration record to determine completeness of the information gathered to ensure it is complete based upon Federal and Third Party billing requirements.
    • Obtains appropriate required/mandated information such as MSPQ and required fields from each applicable patient.
    • Performs all other duties as assigned.

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