Position Goal

To represent JHMH for all patients and/or their representatives upon arrival, assisting them with the utmost care, providing exceptional customer service and providing information as needed to reflect the care that they should expect to receive at the hospital.

Position Responsibilities:

• Perform all elements of the patient intake process with proven accuracy by performing Master Patient Index Inquiries using established identifiers to ensure non-duplication of medical records numbers.

• Collect and update demographic information in the system including emergency contact, telephone numbers, and financial information accurately. Complete record before the end of daily shift.

• Identify and verify benefits by computer or telephone and enter in the system while fulfilling Medicare requirements and completing the Medicare Secondary Payer Questionnaire accurately.

• Determine and inform patient/guarantor of financial responsibility and collect at point of service, issuing receipts as appropriate to include outstanding balances.

• Appropriately read notes and documents on each account.

• Consistently provide explanations and information to the patient and obtain signatures as appropriate.

• Accurately scan the patient ID, insurance cards, eligibility responses, orders, payments, receipts, authorizations, notifications, referrals, and signatures to the patient’s account.

• Maintains proficiency in the use of all systems and communication devices essential to the efficient, effective performance of Patient Access functions.

• Proactively determine payer requirements for pre-certification or pre-authorization and obtain the necessary documentation prior to service delivery.

• Obtain required physician order documentation when necessary to complete the patient intake process.

• Support the department goals for point-of-service collections by identifying the patient responsibility, communicating to the patient or responsible party at pre-registration or registration their financial responsibility to include collecting co-payments in the ER, and co-payments/coinsurance/deductibles from the inpatient, outpatient diagnostic or surgery patient prior to service delivery.

• Ensure all forms are completed by the patients and review promissory note obligations.

• Assist with calling physician offices to obtain precertification, authorizations, and assist with pricing of medical charts, pre-registration duties and transport.

• Review charts for accuracy and completes charts from prior shifts.

• Accurately assign service codes at time of registration and/or room assignments based on established criteria outlined in the procedure manual.

• Perform general clerical office duties as required in the Patient Access Office, including but not limited to filing, faxing, scanning, and copying documents.

• Actively assist and engage in other areas of the Business Office as needed in order to achieve departmental goals.

• Meet assigned departmental quality assurance, point of service collections, insurance verification, registration time and monthly percentage goals.

• Complete Quality Assurance and make all corrections within three days of batch date.

• Can perform all Code/Alarm procedures.

• Ensure Leadership has the most up to date contact information.

Experience: Previous office experience in a healthcare environment preferred.

Education: High school diploma or equivalent required.

Special Qualifications:

Required:

• Ability to work independently in a fast-paced environment.

• Ability to interact well with the public, i.e. children, adolescents, adults, and geriatrics.

• Exceptional customer service skills.

• Knowledgeable of Current Procedure Terminology Codes (CPT), ICD-10 Codes, and medical terminology.

• Knowledge of health insurance, benefit eligibility, and HIPAA (Health Insurance Portability and Accountability Act).

• Knowledge of procedures governing the arrival of Joint Commission and other groups.

• Demonstrate superior prioritization, organizational, and time management skills.

• Proficient in math and typing

• Excellent communication skills, both oral and written

The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, Hughston Medical, Hughston Orthopaedics Trauma, Hughston Orthopaedics Southeast and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.