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Job Objective: A brief overview of the position.
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The position is 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
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Reports to
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Supervisor, Manager, Director
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Supervises
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N/A
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Ages of Patients
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Adult
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Geriatric
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Blood Borne Pathogens
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Minimal/ No Potential
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Qualifications
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Education
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Required: High School Diploma, GED or Higher Level Degree
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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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Schedules patients with accurate information , including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator, etc…..
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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 identifies patients by using proper method of retrieving patient history/information, avoiding creation of duplicate Medical Records for additional patient visits.
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Registers patients 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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Reviews insurance eligibility, updates account with accurate information obtained from the health plan and releases the insurance based upon verification process.
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Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for, outpatient services, and inpatient admissions.
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Ensure that all HIPAA regulation information is completed appropriately.
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Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, 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 that all required insurance authorization/pre-certification has been attained to ensure correct payment from the health plan.
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Ensures that patients are aware of the insurance benefit coverage and their financial responsibility.
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Provides patients who qualify for uninsured discount with a cash quote.
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Provides patient and/or family with all available linkage programs for financial assistance.
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Displays knowledge of and adheres to Admitting department Policy and Procedures.
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Attends and participates in all staff meetings.
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All other duties, as assigned.
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Successfully completes Admitting training orientation program(s).
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Maintains registration error accuracy rate of 95% or higher. Demonstrates and maintain all other departmental accuracy and productivity standards.
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Successfully completes all required training courses.
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Demonstrates an advanced knowledge of insurances, including eligibility, benefit coverage, authorization/pre-certification, and other relevant information.
- Demonstrates proficiency and expertise with various uninsured patient linkage programs.
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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.
