Patient Intake Specialist

Eisenhower Medical Center; United States; On-site; USD 27,000 - 39,000; Full time

Job summary

Eisenhower Health Careers is seeking an eligible candidate for a Day shift role in Pre-Reg/Scheduling. You will handle patient scheduling, registrations, insurance verification and financial counseling in a full-time capacity.

The role requires a high school diploma or GED and strong customer service, communication, and medical terminology skills. Experience in healthcare or customer service is preferred, with HIPAA compliance as a must.

Qualifications

• Education: High School Diploma, GED or higher level degree if hired after March 1, 2025.
• Experience: Preferred healthcare or customer service experience.
• Knowledge of insurances, including eligibility, benefit coverage and authorization/pre-certification.
• Understanding of hospital based Federal Rules, Regulations and procedures.

Responsibilities

• Schedules patients with accurate information and follow-ups.
• Registers patients and verifies information to avoid duplicate records.
• Reviews insurance eligibility and updates accounts accordingly.
• Collects co-pays/deductibles based on insurance information and cash quotes.
• Ensures HIPAA information is completed appropriately.
• Prepares Medicare ABN/LMRP requirements and signatures.
• Completes Medicare Screening Forms per requirements.
• Informs patients about insurance benefits and financial responsibility.
• Provides uninsured discount cash quotes and linkage programs.
• Attends staff meetings and completes required training.
• Performs other duties as assigned.

Skills

Customer service

Communication skills

Verbal and written

Insurance eligibility

Authorization/pre-certification

Medical terminology

Payment processing

HIPAA awareness

Office equipment

Education

High School Diploma or GED

Tools

Word

Excel

Outlook

Job description

Default Work Shift: Day (United States of America) Hours: 40 Salary range: $19.28 - $28.54 Schedule: Full Time Shift Hours: 8 Hour employee Department: Pre-Reg/Scheduling

Job Objective: Responsible for patient scheduling, accurate registrations, insurance verification, authorization/pre-certification, financial responsibility, financial aid, point of service collections, cash pay quotes and customer service.

Job Description:

Education: Required: High School Diploma, GED or higher level degree if hired after March 1, 2025

Licensure/Certification: Required: N/A

Experience: Preferred: Healthcare or customer service experience

Reports To: Supervisor, Manager, Director

Supervises: N/A

Ages of Patients: Adult, Geriatric

Blood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities: Ability to operate general office equipment (i.e., computer, printer, scanner, telephone, etc.), Computer literate in usage of (Word, Excel, Outlook, etc), Excellent Customer service, excellent communication skills, Verbal and written, Knowledge of insurances, including eligibility, benefit coverage and authorization/pre-certification, Medical terminology, payment processing, Hospital based Federal Rules, Regulations and procedures, safety practices, Proficient with various uninsured patient linkage programs, Successful completion of the Department Insurance 101 Program

Essential Responsibilities

1. 1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
2. 2. Schedules patients with accurate information, including appropriate follow-up on call-backs, faxed orders, orders submitted through order facilitator.
3. 3. Properly identifies patients by using proper method of retrieving patient history and information, avoiding creation of duplicate Medical Records for additional patient visits.
4. 4. Registers patients and maintains compliance according to departmental benchmark guidelines. Verifies and accurately enters and updates patient information while registering as per departmental guidelines.
5. 5. Reviews insurance eligibility, updates account with accurate information obtained from the health plan and releases the insurance based upon verification process.
6. 6. Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for, outpatient services, and inpatient admissions.
7. 7. Ensure that all HIPAA regulation information is completed appropriately.
8. 8. Prepares all appropriate Medicare Advanced Beneficiary Notice (ABN) and (LMRP) program requirements, including patient notification and signature requirements at time of service.
9. 9. Completes the Medicare Screening Form for all Medicare patients and adheres to completion per Medicare requirements.
10. 10. Ensures that patients are aware of the insurance benefit coverage and their financial responsibility.
11. 11. Provides patients who qualify for uninsured discount with a cash quote.
12. 12. Provides patient and/or family with all available linkage programs for financial assistance.
13. 13. Adheres to department Policy and Procedures and completes department/job training orientation program(s).
14. 14. Maintains registration error accuracy rate of 95% or higher; maintains all other departmental accuracy and productivity standards.
15. 15. Successfully completes all required training courses.
16. 16. Attends and participates in all staff meetings.
17. 17. Performs other duties as assigned.

Welcome to Eisenhower Health Careers! Eisenhower has been a leader in health care for the Coachella Valley since we opened our medical center in 1971. Since then, we’ve been growing steadily, adding services, capabilities and facilities to anticipate and meet the needs of our expanding area. Today, the Eisenhower name extends far beyond the state‑at‑the‑art care we deliver at the hospital.