JOB DUTIES AND RESPONSIBILITIES:

• Insuring that all Medicare Patients have the following :
• IMM Signatures within 48 hours or letters sent out;
• MSP Screens completed accurately.
• Follow up on all inpatient and high dollar patients who do not have secondary coverage after Medicare.
• Utilize Search America to evaluate patients for hospital Financial Assistance Program and obtain all necessary financial documentation to support eligibility on All Self Pay Accounts including: Self Pay POS accounts referred by Admission Services, Self Pay SAT accounts referred by Outpatient Registration, any High Dollar outpatient Self Pay (i.e. Oncology/OB) that appears on high dollar report or are referred by a Financial Rep.
• Processing PATHS close out letters.
• Referring patients to PATHS via and documenting on I drive.
• Following up on any Email/mail requests.
• Answering Financial Counseling Phone line and taking off messages daily.
• Answering Walk in Billing questions.
• Resolves or assists with complaints, misunderstandings, and inquiries related to insurance coverage or billing issues.
• Communication and/or updating of correct patient information to appropriate staff (s), departments (s), and hospital data systems.
• Accurate and timely verification of third party payers.
• Ongoing application of all billing requirements and/or regulations.
• Research for alternative government funding programs.
• Adhere to appropriate collection procedures and/or regulations.
• Overall knowledge of the business office procedures.
• Provide assistance to coworkers during peak times and covers for vacation, holiday and sick time.
• Provide St. Luke’s Hospital with data and documents necessary to produce a patient bill by conducting in-person or telephone interviews with patient or facilities to gather demographic, financial, guarantor, referring and primary care physician data, to establish or verify an existing medical record number, and entering the information into the hospital computer system.
• Maintain a working knowledge of the policies and procedures pertaining to outpatient registration, order entry, and requests for outpatient services including but not limited to outpatient registration, order entry, and request for services.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting up to 8 hours per day, 4 hours at a time. Frequent use of hands/fingers for data entry. Occasional walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 10 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.

EDUCATION:

High school graduate or equivalent required.

TRAINING AND EXPERIENCE:

Excellent customer service and interpersonal skills required (office setting preferred). General computer experience with data entry required. Insurance background preferred. Knowledge of medical terminology.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!