KEY ACCOUNTABILITIES:
1. Assigns accurate MRNs, completes medical necessity/compliance checks, provides proper patient instructions, collects insurance information, receives and processes physician orders, and utilizes overlay tools while providing excellent customer service as measured by Press Ganey.
2. Operates the telephone switchboard to relay incoming, outgoing, and interoffice calls as applicable. Adheres to ThedaCare policies and provides excellent customer service in interactions with the appropriate level of compassion. Is accountable for point-of-service goals as assigned.
3. Utilizes quality auditing and reporting systems to ensure accounts are accurate and complete. Conducts audits of accounts and ensures forms are complete, accurate, and timely to meet audit standards.
4. Performs pre-registration of patient accounts prior to patient visits including inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities and collecting point-of-service collections, past due balances, and bad debt. Provides information to the patient/representative or may create and process payment plan options.
5. Explains general consent for treatment forms to the patient/guarantor/legal guardian, and obtains necessary signatures. Explains and distributes patient education documents.
6. Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code. Enters benefit data to support point-of service collections and billing processes to assist with a clean claim rate.
7. Screens medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare. Distributes and documents other forms and pamphlets.
8. Performs other duties as assigned including answering the phones at other facilities.
QUALIFICATIONS:
• High School diploma or GED preferred • Must be 18 years of age •
PHYSICAL DEMANDS:

• Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of fifty (50) pounds without assistance
• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:

• Climate controlled office setting with daily movement throughout the facility
• Interaction with department members and other healthcare providers