Overview
Responsible for patient registration, admissions, and associated tasks which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include verification, collection of co-payments, and collection of associated paperwork. Performs administrative functions, scheduling, answering phones, and coordinating general requests.
Responsibilities
- Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, collecting financial paperwork (e.g., patient responsibility statement) and co-payments as required.
- Communicates effectively with patients to facilitate access to care by answering telephone and other communications in a timely, customer-service oriented manner; responds to inquiries and information needs, and follows up with responsible parties when information is not readily available.
- Resolves non-clinical questions within scope of knowledge while providing excellent customer service in person or by phone.
- Performs ongoing documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors (e.g., Medicare) using computer-based systems.
- Schedules appointments for outpatient clinics and procedures as needed.
- Obtains prior health insurance authorization for outpatient procedures and inpatient stays as needed.
- Educates patients on pre-exam and, if necessary, post-exam requirements within scope.
- Organizes, generates, and distributes patient reminders, results, and recall letters.
- Establishes files, maintains information, and scans medical records in a timely and organized manner.
- Ensures the accuracy of medical record documentation by performing quantitative and qualitative audits.
- Manages, directs, and responds to incoming office correspondence (mail, email, faxes, telephone) and forwards queries to appropriate staff.
- Attends and provides feedback for departmental staff meetings.
- Role models the Principals of Family Hospital Management and Organizational Values.
- Ensures compliance with HIPAA, EMTLA, and Joint Commission requirements, providing required associated literature to patients.
- Performs other duties as assigned at the department and organizational level.
Company Specific
- Adheres to dress code, maintains neat appearance, and wears appropriate identification while on duty.
- Completes annual health, safety, and education requirements. Maintains professional growth and development.
- Maintains confidentiality of all patient and/or employee information to protect rights.
- Demonstrates knowledge of growth and development principles to provide age-appropriate care.
- Reports to work on time as scheduled and adheres to absence notification policies.
- Attends mandatory in-services and staff meetings.
- Represents the organization in a positive and professional manner.
- Complies with organizational policies regarding ethical business practices.
- Communicates the mission, ethics, and goals of the hospital and the department focus.
- Maintains current licensure/certification for the position, if applicable.
- Consistently demonstrates Guest Relations skills to patients, physicians, visitors, employees, and others encountered.
- Follows department and hospital Health, Safety, Security, and Hazardous Materials policies and procedures.
- HIPAA: Conduct job responsibilities in accordance with privacy laws and hospital policy on patient confidentiality; identify issues and report to proper hospital personnel.
- Compliance: Conduct responsibilities in accordance with FHMC Code of Conduct, FHMC policies, applicable laws, and applicable standards.
- Maintains a courteous and respectful attitude toward colleagues and the public; avoids unprofessional language.
Knowledge/Skills/Abilities
- Excellent oral and written communication and interpersonal skills.
- Problem-solving abilities.
- Professional and positive demeanor.
- Proficiency in Microsoft Office and data entry systems.
- Accuracy and attention to detail.
Qualifications
- Education: High School diploma or GED required; associate degree or higher preferred.
- Licenses/Certification: BLS certification required; CHAA or CHAM preferred.
- Experience: 1 year of experience in an acute patient care setting preferred.