Inspire health. Serve with compassion. Be the difference.
Job Summary
Receives and interviews patients to collect and verify pertinent demographic and
financial data. Verifies insurance and initiates pre-authorization process when
required. Collects required payments or makes necessary financial arrangements.
Performs all assigned duties in a courteous and professional manner. May perform
business office functions.
Essential Functions
* All team members are expected to be knowledgeable and compliant with Prisma
Health's purpose: Inspire health. Serve with compassion. Be the difference.
* Interviews patient or other source (in accordance with HIPAA Guidelines) to
secure information relative to financial status, demographic data and
employment information. Enters accurate information into computer database,
accesses Sovera to ensure the most recent insurance card is on file, and
scans documents according to departmental guidelines. Follows up for
incomplete and missing information.
* Verifies insurance coverage/benefits utilizing online eligibility or by
telephone inquiry to the employer and/or third-party payor. Information
obtained through insurance verification must always be documented in the
system. Assigns appropriate insurance plan from the third-party database;
ensures insurance priorities are correct based on third-party requirements/
COB. Initiates pre-certification process as required according to
Departmental Guidelines; obtains signed waiver for cases where
pre-certification is required but not yet obtained.
* Obtains necessary signatures and other information on appropriate forms and
documents as required including, but not limited to, Consent Form, Liability
Assignment, and Waiver Letter.
* Receives payments and issues receipts, actively working toward collection
goals. Maintains cash funds/verification logs and makes daily deposits
according to departmental policies and procedures.
* Prepares and distributes appropriate reports, documents, and patient
identification items as required. This includes, but is not limited to,
Privacy Notice, Patient Rights and Responsibilities, Patient Rights in
Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity
logs, monthly collection reports, patient armbands, patient valuables, etc.
* Communicates to patients their estimated financial responsibility. Requests
payment prior to or at the time of service. Refers patients who may need
extended terms to the Medical Services Payment Program and patients needing
financial assistance to appropriate program.
* Performs other duties as assigned.
Supervisory/Management Responsibilities
* This is a non-management job that will report to a supervisor, manager,
director, or executive.
Minimum Requirements
* Education - High School diploma or equivalent OR post-high school
diploma/highest degree earned
* Experience - Two (2) years of Admissions, Billing, Collections, Insurance
and/or Customer Service
In Lieu Of
* NA
Required Certifications, Registrations, Licenses
* NA
Knowledge, Skills and Abilities
* Basic computer skills (word processing, spreadsheets, database, data entry)
* Mathematical skills
* Registration and scheduling experience preferred
* Familiarity with medical terminology preferred
Work Shift
Weekend Shift (United States of America)
Location
Blount Memorial Hospital
Facility
Corporate
Department
Patient Access-Blount
Share your talent with us! Our vision is simple: to transform healthcare for the
benefits of the communities we serve. The transformation of healthcare requires
talented individuals in every role here at Prisma Health.