Overview

The RWS - Patient Accounts Technician completes Medicare, Medicaid, and commercial insurance requirements for admission. Completes private pay financial requirements for admission. Completes indigent/charity financial requirements for admission. Receive requests for hospital services and register patients. Answer phones and handle inquiries.

Responsibilities

Core Responsibilites and Essential Functions

• Verify insurance coverage's for all potential admissioins for both the IRF and LTAC.
• Obtain pre-certification for all potential admissions, ensuring 100% accuracy into Erehab, LTRAX and CPSI ofthose pre-certs.
• Serves as a source of communication to RWSH personnel on admission status, pre-certification status anddenials.
• Maintains tracking logs of admission approvals and denials for review as needed.
• Trains staff on processes, procedures and best practices

Required for All Jobs

• Performs other duties as assigned
• Complies with all WellStar Health System policies, standards of work, and code of conduct.

Qualifications

Required Minimum Education

• High School graduate GED

Required Minimum Experience

• 1 year customer service exp in healthcare office environment.
• Computer skills and data entry

Preferred Experience

• Experience with CPSI computer system, Knowledge of funding websites to verify coverage of Medicare, Medicaid and Third Party Payors.

Required Minimum Skills

• Basic knowledge of medical terminology
• Basic experience and knowledge of PC applications (Word & Excel)
• Detailed-oriented, good organizational skills, and ability to be self-directed
• Strong time management skills, managing multiple priorities and a heavy workload in a high stress atmosphere
• Flexibility to perform other tasks as needed in an active work environment with changing work needs
• High-level problem solving, analytical, and investigational skills
• Excellent communication skills to include oral and written comprehension and expression
• Ability to:? Learn quickly and meet continuous timelines? Exhibit behaviors consistent with principles of excellent service? Demonstrate and maintain competency as required for job title and the unit/area(s) of assignment? Exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency and financial responsibility, safety, partnership & service, teamwork, compassion, integrity, and trust & respect)

Preferred License(s) and Certification(s)

• Certified Patient Account Technician