The purpose of this position is to register patients, obtain demographic, insurance and financial related data, collect co-pays for various office visits, provide general assistance to the public and perform receptionist and other related clerical duties.
Talent Pools: Corporate Services/Professional
Performs registration tasks. Efficiently, accurately and expeditiously enters and updates demographic and insurance data. Completes MXP (Medicare Secondary Payor) survey and online insurance verification. Collects and correctly posts co-pays in cash posting system, generating a receipt. Collects payments for prior dates of service and applies payment appropriately in cash posting system. Clears system edits and hold bills on a regular and timely basis. Completes other steps as required.
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Obtains pre-certification on outpatient services. Obtains precertification for outpatient chemotherapy and injections administered at the Cancer Center daily. Maintains a two-day buffer on chemotherapy and injection schedules. Consistently alerts appropriate nurses, physicians and office manager of potential problems obtaining authorization for injections.
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Greets patients and visitors in a prompt, courteous, cheerful and professional manner. Answers patient and visitor questions and gets appropriate department involved if necessary. Consistently checks with staff when wait appears excessive and conveys appropriate information to patients and visitors.
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Coordinates with Financial Counselors / Advocates to find financial assistance. Alerts Financial Counselors / Advocates to accounts that no longer have insurance, and make them aware of non-covered services. Works with Advocates to obtain proper insurance coverage information.
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Documents proper authorization numbers and submits clinical information when necessary. Consistently submits necessary medical documentation to insurance carrier to obtain authorization. Obtains new authorization when initial authorization has expired.
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Performs various administrative, secretarial and clerical support functions. Consistently and promptly greets patients via face-to-face and telephone, quickly identifying needs and providing accurate information. Receives and retrieves mail, correspondence, paperwork, faxes promptly. Consistently prioritizes and appropriately distributes information. Demonstrates advanced computer skills to effectively support departmental functions.
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EDUCATION: High School Diploma or equivalent, Required
Associates, Preferred
EXPERIENCE: Related medical business or front office experience, Preferred
LICENSURE/CERTIFICATION/REGISTRY/LISTING: REQUIRED
PREFERRED
