Patient Registration Representative-Surgery Center

Colonial Group; Tucson (AZ); On-site; USD 42,000 - 52,000; Full time

Job summary

Colonial Group in Tucson, AZ is seeking aFull-Time Patient Financial Services Clerk to manage registration, eligibility verification, and authorization processing while maximizing reimbursement.

You will collect payments, explain financial policies, assist with Medicaid and financial assistance programs, and liaise with billing, vendors, and payors to resolve issues and improve account performance. Strong communication and multitasking required.

Qualifications

• Requires knowledge of patient financial services and insurance processes.
• Ability to manage multiple tasks with minimal supervision.
• Strong interpersonal and written communication skills.

Responsibilities

• Performs pre-registration/registration processes, verifies eligibility and obtains authorizations.
• Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service.
• May provide financial counseling to patients and assist with Medicaid and financial assistance programs.
• Acts as a liaison between patient, billing department, vendors, physician offices and payors to optimize account receivables.
• Communicates with physicians and hospital staff to resolve issues and meet financial service needs.
• Meets monthly productivity goals and maintains accurate electronic logs.

Skills

Interpersonal skills

Communication skills

Multitasking

Independent work

Education

High school diploma or GED

Tools

Microsoft Office

Word processing

Spreadsheets

Database software

Job description

Status: Full-Time

POSITION SUMMARY

This position conducts registration, point of service collections and obtains authorizations and forms needed to maximize reimbursement. Document all facets of the registration process and meet accuracy goals as determined by management. Collect payments and meet regular collection targets as determined by management. Demonstrates the ability to collect payments, to resolve customer issues and provide excellent customer service. Perform financial counseling when appropriate.

ESSENTIAL FUNCTIONS

• Performs pre-registration/registration processes, verifies eligibility and obtains authorizations, submits notifications and verifies authorizations for services. Verifies patient’s demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patient’s insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management.
• Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management.
• May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources. Assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).
• Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals, resolve outstanding issues and/or patient concerns and maximize service excellence.
• Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Work to meet the patient’s needs in financial services.
• Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately. Identifies opportunities to improve process and practices good teamwork.
• Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team.
• Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
• Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.

MINIMUM QUALIFICATIONS

• High school diploma or GED required.
• Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience.
• Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

PREFERRED QUALIFICATIONS

• Previous cash collections experience is preferred.