group
Category
Administrative Support
business
Department
Pre-Reg/Scheduling
date_range
Schedule
Per-Diem
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA 92270
info
Job #
R0253193
  • Job Objective: A brief overview of the position.
    • 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.
  • Reports to
    • Supervisor, Manager, Director
  • Supervises
    • N/A
  • Ages of Patients
    • Adult
    • Geriatric
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Preferred: Some college hours
    • Licensure/Certification
      • N/A
    • Experience
      • Required: 1-2 years of hospital/physician scheduling, admitting, registration or billing
      • Preferred: Previous experience in Healthcare setting and prior Customer Service Experience
  • Essential Responsibilities
    • Schedules patients with accurate information , including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator, etc…..
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Properly 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.
    • 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.
    • Displays knowledge of and adheres to Admitting department Policy and Procedures.
    • Attends and participates in all staff meetings.
    • All other duties, as assigned.
    • Successfully completes Admitting training orientation program(s).
    • Maintains registration error accuracy rate of 95% or higher. Demonstrates and maintain all other departmental accuracy and productivity standards.
    • Successfully completes all required training courses.
    • 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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