Scheduled Hours

40

Position Summary

Responsible for non-clinical interaction with patients and families. Interacts directly with patients and families to schedule appointments, register demographics, obtain insurance information, and enter the information into the EMR. Determines and collects co-payments, percentage payments, and self-payments. Obtains or verifies referrals for managed care plans. Responsible for pre-arrival work as it relates to patient registration and insurance eligibility. Works under the direct guidance of the Charge Nurse and the administrative guidance of the Director of Clinical Operations and Clinical Manager and Supervisor.

Job Description

Primary Duties & Responsibilities:

• Responsible for ensuring that the HIPAA Privacy Notice has been offered, consent form initialed and signed, and acknowledgement of this is documented in EMR. 

• Obtain and enter into the EMR registration fields all demographic and insurance information completely and accurately.  Insurance and Demographic information must be verified each visit and verification must be documented in EMR.  Maintains a 95% compliance rate of completing all required registration fields.
• Determine required payments from the daily Provider list collect the payments and record.
• Check insurance information two weeks prior to visit, contact PCP for referrals as needed, enters referral information into the EMR scheduling system. If no referral information prior to visit, obtain day of visit.  If unable to obtain referral, the physician must be notified.
• Verify insurance eligibility on all patients before the date of service.  All Medicaid must be verified on each date of service.
• Assign SLCH medical record HAR numbers for all new patients when reviewing the pre-arrival work list and is required in EMR.
• Schedule new and return patient appointments.
• Arrive, cancel or no-show Provider list daily.
• Verify accuracy and completion of charge documents.
• ICD-9 and CPT coding of charge tickets for completion.
• Follow POS Payment Policy at end of day closing procedures.
• Disburse parking validation with each visit.
• Screen patients for potential infection control problems and assist in follow-up to assure patient / family safety.
• Correct duplicate accounts that have been created.
• Follow HIPAA regulations at end of day closing.
• Treat patients and families with care, respect and professionalism
• Identify self and job function in all interactions with patients and families
• Ensure ID badge is visible at all times
• Maintain patient privacy at all times.
• Provide patients with clear and accurate information.
• Take action to continuously improve service
• Respond consistently to the needs of referring physicians and other health care professionals who are participating in the patient’s care.
• Create a positive work environment by treating all co-workers, students and physicians with dignity and respect.

Working Conditions:

Job Location/Working Conditions - 9th floor Office (SLCH).  Moderate to high stress level.  Frequent contact with patients, families, medical personnel, and administrative personnel. 

• Normal office environment.

• Patient care setting.

Physical Effort

• Typically sitting at desk or table.

• Repetitive wrist, hand or finger movement.

Equipment

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications:

The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role.

Basic Life Support - American Heart Association, Basic Life Support - American Red Cross

Work Experience:

Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (3 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications: