Patient Account Representative - Point of Entry

Thibodaux Regional Medical Center; Thibodaux (LA); Presencial; USD 36.000 - 48.000; Jornada completa

Descripción de la vacante

Thibodaux Regional Medical Center in Thibodaux, LA is seeking a Patient Account Representative - Point of Entry to pre-register patients and collect initial demographic and insurance information prior to service.

This full-time daytime role requires accurate data entry, effective communication with patients and physician offices, and the use of health information systems to verify eligibility, obtain authorizations, and schedule tests.

Formación

• High school diploma or GED preferred.
• Typing on a keyboard with speed and accuracy required.

Responsabilidades

• Pre-registers patients by entering demographic information and ordering tests/procedures prior to the service date.
• Obtain patient information from prior visits or through physician offices by phone or provided details.
• Obtain pre-certifications and authorizations from physician offices.
• Verify insurance coverage using the eligibility software.
• Contact physician offices for information needed for insurance authorization.
• Calculate co-pays and deductibles based on benefits and contracts.
• Explain insurance benefits, deductibles, and co-pays to patients before service.
• Order tests via the Health Information system.
• Use registration accuracy software to identify and correct errors prior to billing.
• Reschedule patients as requested by the department or patient.
• Assist departments with transfers or bed placement.
• Complete a pre-registration “to do” form with paperwork daily.
• Be accountable for accuracy and timeliness of work.
• Participate in DIG, LEAN, and Six Sigma teams as requested.
• Provide other clerical duties as assigned.

Conocimientos

Typing speed and accuracy

Educación

High school diploma or GED

Herramientas

Health Information system

Descripción del empleo

Patient Account Representative - Point of Entry

Point of Entry

Thibodaux , LA

Full Time , Days , 8:30a - 5:00p

PRIMARY PURPOSE/FUNCTION:

Responsible for pre-registering all patients appropriately.

PRIMARY RESPONSIBILITIES:

• Pre-registers patients based on specific services by entering demographic information and ordering test/procedure prior to the patient service date
• Obtain patient information by the patient’s previous visit, contacting the patient by phone or information provided by physician offices.
• Obtains and enters pre-certifications and authorizations from physician offices.
• Utilizes the eligibility software to verify the patients have the insurance coverage as provided.
• Contacts physician offices for necessary information needed for insurance authorization.
• Calculates Co-pays and deductibles based on the patient’s benefits and the Managed Care contracts, and government payer contracts.
• Responsible for contacting the patients by phone and explaining to the patient their insurance benefits, deductibles, co-pays that will be due prior to service, clinical instructions provided by the service department and other information such as valet parking, location of the test/procedure, and time of the test/procedure.
• Orders tests via the Health Information system.
• Utilizes the registration accuracy software to identify registration errors, and correct the accounts prior to billing.
• Reschedules patients as requested by the department or patient.
• Assist departments with transfers or bed placement (4900 number)
• Completes a pre-registration “to do” form that is sent with the paperwork daily to the registration staff.
• Held accountable for accuracy and timeliness of work.
• Participates in DIG, LEAN, and Six Sigma teams as requested.
• Provides other clerical duties as assigned.

QUALIFICATIONS:

Educational and/or Professional Qualifications:

• High school diploma or GED preferred.
• Ability to type on a keyboard with speed and accuracy.

Previous Experience:

1. Previous medical insurance experience such as billing, collecting, verifying, and pre-registering of patients.