Posted: Friday, January 5, 2018 3:59 AM
Name of Location: Scottish Rite
Work Schedule: Day
Employment Type: Full:Time
Monday; Thursday; Tuesday; Wednesday
JOB SUMMARY 13;
Serves as expert/lead team member in communicating with patients, families, physicians, quality review, clinical staff, and insurance companies to obtain information and insurance verification to ensure quality patient care and payment of hospital accounts. Collaborates with Appeals department to overturn claims denial. Provides other registration, clerical, and billing support as required, including scheduling, chart creation, and charge entry. Ensures quality monitoring to produce clean claim processing. Assists in hiring and orientation of new employees and may assist in annual evaluation process.
:High school diploma or equivalent 13;
CERTIFICATION SUMMARY 13;
:No professional certifications required 13;
:2 years of experience in registration 13;
PREFERRED QUALIFICATIONS* 13;
:Certified Patient Account Representative (CPAR) or Certified Healthcare Access Associate (CHAA) 13;
KNOWLEDGE SKILLS and ABILITIES* 13;
:Understand and be familiar with medical terminology
:Must pass typing test with at least 50 words per minute
:Basic Windows XP and Microsoft Word
:Must be able to successfully pass the Basic Windows Skill Assessment at 80 or higher rating
:Knowledge and utilization of patient registration systems, insurance verification systems, and/or Medicaid portals, e.g., RIS, SIS, SMS, Epic, IMS Web, HDX, Payor websites, CSC Order Indexing, POS Database, GPMS, IBEX, NueMD, and Passport
:Strong verbal/written communication skills
:Demonstrated arithmetic and word mathematical problem:solving skills
:Proven ability to multitask and must be willing to work a flexible schedule
:Ability to travel within Metro Atlanta as needed to support multiple locations or different departments 13;
JOB RESPONSIBILITIES* 13;
:Performs daily quality audits on team of Registration Coordinators to ensure all duties are performed correctly.
:Orients new employees and acts as resource for staff to resolve/handle difficult situations or answer questions.
:Partners with other areas for positive patient flow and responds to issues that may arise related to safety, security, and disaster management.
:May conduct performance evaluation of staff, provide input into hiring and disciplinary actions, and may act as supervisor as required or upon absence of supervisor.
:Interviews patients and families to obtain complete and accurate demographic and financial information.
:Ensures all necessary questionnaires and forms are completed according to pre:determined requirements by government or regulatory agencies.
:Enters data into system for registration, billing, and patient tracking in a fast, efficient way to minimize patient wait times.
:Confirms insurance coverage and obtains authorizations if applicable.
:Explains regulatory financial requirements to patient or responsible party and collects/posts deposits or deductible amounts as required (for outside clinics, could include ensuring that referring physicians have obtained prior insurance authorization as needed and rescheduling appointments if necessary).
:Assists Appeals department to provide all related information to overturn claims denial.
:Serves as liaison between patient and department staff by informing patients and families of procedures and delays, answering questions, offering assistance, relaying messages, and other services that patients and families may require.
:Ensures wait time communication occurs by updating schedulers and patient information tools as appropriate.
:Schedules patient appointments when needed, including referral from faxes, phones, or other instructions and contacts physician offices to resolve discrepancies.
:Coordinates all aspects of scheduling, includin
• Location: Atlanta
• Post ID: 89202947 atlanta