Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
Job Objective:
Responsible for patient scheduling, accurate registrations, insurance verification, authorization/pre-certification, financial responsibility, financial aid, point of service collections, cash pay quotes and customer service.
Job Description:
Education:
Required: High School Diploma, GED or higher level degree if hired after March 1, 2025
Licensure/Certification:
Required: N/A
Experience:
Preferred: Healthcare or 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.
- Schedules patients with accurate information, including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator.
- Properly identifies patients by using proper method of retrieving patient history and 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.
- Reviews insurance eligibility, updates account 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, outpatient services, and inpatient admissions.
- Ensure that all HIPAA regulation information is completed appropriately.
- Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.
- 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.
- Provides patients who qualify for uninsured discount with a cash quote.
- Provides patient and/or family with all available linkage programs for financial assistance.
- Adheres to department Policy and Procedures and completes department/job training orientation program(s).
- Maintains registration error accuracy rate of
- Successfully completes all required training courses.
- Attends and participates in all staff meetings.
- Performs other duties as assigned.
Essential Skils:
- Knowledge of insurances, including eligibility, benefit coverage and authorization/pre-certification
- Ability to operate general office equipment (i.e., computer, printer, scanner, telephone, etc.)
- Computer literate in usage of (Word, Excel, Outlook, etc)
- Excellent Customer service, excellent communication skills, Verbal and written
- Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices
- Successful completion of the Department Insurance 101 Program
- Proficient with various uninsured patient linkage programs
