Description

Essential Job Functions :

Accountable for accurately collecting demographics, confirming patient identity, guarantor assignment, and coverage information and verification from patients or informants including obtaining necessary documents for check-in or admission among various patient settings, utilizing various communication methods (i.

e phone, letters, face-to-face, bedside).

• Assists in achieving the strategic objectives of Monument Health by following Revenue Cycle guidelines. Including participating in quality assurance and improvement activities.
• Demonstrates knowledge of payer information and benefits, including Medicare, Medicaid, and commercial payers as well as third party liability payers.
• Performs point of service collections including prepayments, outstanding balances, co-payment and co-insurance; daily reconciliation of cash drawer.

Provides patients with basic account reconciliation.

• Initiates financial clearance by providing patient with cost estimates for scheduled services. Properly escalates financial clearance needs on behalf of the patient.
• Review and understand authorization and referral records to confirm financial clearance.
• Educates patient and maintains regulatory compliance as required by distributing and / or obtaining required forms and signatures including consents for treatment and financial agreements, ABN / waivers, and other regulatory forms.
• Performs business office duties including incoming phone calls and messages, in-basket messaging, patient communications, intra-departmental communications, scanning / faxes, taxi vouchers, mail distribution, lost and found, safe and valuables and other duties as assigned.
• Provides service excellence including way-finding, reception. Demonstrates the importance of satisfying the needs of the customer by interacting with him / her in a friendly and caring way, being attentive to both emotional and physical needs.

Takes responsibility to maintain communication with the customer in order to provide a secure and pleasant experience throughout the system.

• May obtain referrals and order transcription, as applicable to service area.
• Perform patient scheduling and check-out, including pre-arrival management for upcoming services per protocols within the supported department, managing and monitoring patient wait lists and recall lists appropriately.
• Maintain registration related work queues including ongoing resolution of errors.
• Working knowledge of the electronic medical record : advanced directives, release of information, patient portal proxy forms.

Ability to educate patient on the patient basic purpose, and regulations.

• Address account inquires, resolve or escalate inquiries as appropriate.
• May perform patient movement activities in the electronic medical record.
• May arrange patient transportation and other enabling services.
• Assist clinical care team as needed including providing transport in cooperation with clinical team direction.
• Responsible for attending all mandatory education, compliance and safety program sessions.
• Required to comply with all current and future policies and procedures and report directly to the supervisor.
• All other duties as assigned.

Additional Requirements

Preferred :

Education - High School Diploma / GED Equivalent

Work Experience - 1 years Customer Service Experience; 1 years Patient Relations Experience; 1 years Medical Patient Accounts / Financial Services Experience

Physical Requirements : Medium work - exerting up to 10 pounds of force constantly (67-100% of the time), and / or up to 25 pounds of force frequently (34-66% of the time), and or up to 50 pounds of force occassionally (up to 33% of the time), and / or up to 50 pounds seldomly to move objects.

Possible exposure to blood, bodily fluids, or tissues. Requires the ability to work designated shift lengths (including 8 and 12 hours), which may include night shifts or occasional irregular hours.

Job Category

Revenue Cycle

Job Family

Registration and Scheduling

Department

MHUC-RC Jackson Blvd. Clinic Management

Scheduled Weekly Hours

Shift

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference .

Monument Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Last updated : 2024-05-06