Pre-Registration Representative - Cancer Center Administration - FT - Day

Stormont-Vail HealthCare; Topeka (KS); Hybride; USD 42 000 - 56 000; Plein temps

Résumé du poste

Stormont-Vail HealthCare in Topeka, KS is seeking a Full-time Patient Accounts Processor to manage the patient financial journey from scheduling to pre-bill editing completion. The role involves scheduling, data verification, insurance checks, pre-certification, and calculating patient liabilities while ensuring compliance with regulatory requirements.

Ideal candidates have a High School Diploma or GED, 2 years in a clinical healthcare setting related to patient financial services, and

Qualifications

• High School Diploma / GED required
• Associate's Degree preferred
• 2 years experience in a clinical healthcare position related to patient financial services, registration or scheduling
• Knowledge of computers and MS Windows applications
• Typing speed of at least 30 WPM
• Excellent interpersonal and communication skills and good math/analytical skills
• Knowledge of medical terminology

Responsabilités

• Process patient accounts from scheduling to pre-bill editing completion
• Schedule services and verify/collect comprehensive data set
• Verify insurance and pre-certification; calculate patient liabilities
• Provide financial education and finalize financial resolution with patients
• Identify and resolve pre-bill edit failures per policies and regulations
• Ensure compliance with JACHO, Medicare, payer contracts, and other authorities
• Explain forms and signatures to patients and obtain necessary consent signatures
• Screen registrations for sensitive diagnoses and obtain required releases
• Remind patients about required information, co-pays, and deductibles

Connaissances

Interpersonal skills

Math skills

Typing 30 WPM

Medical terminology

Computer literacy

MS Windows

Formation

High School Diploma or GED

Associate's Degree (preferred)

Outils

MS Windows applications

Description du poste

Position Status: Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt

A Brief Overview Under direction, responsible for the processing of patient accounts from the point of scheduling to the completion of pre-bill editing. This responsibility includes scheduling the service, collecting and verifying the comprehensive data set, verification of insurance, insurance pre-certification, liability calculations, financial education and finalizing financial resolution with patients, financial assistance (HAP) and the identification and resolution of pre-bill edit failures following established policies and procedures, and in compliance with JACHO, Medicare, Payer contracts and other regulatory agencies.

• High School Diploma / GED Required
• Associate's Degree Preferred

• 2 years Experience in a clinical healthcare position related to patient financial services, registration or scheduling. Required

• Knowledge of computers and MS Windows applications. (Required proficiency)
• Keyboarding skill or typing skill of at least 30 WPM. (Preferred proficiency)
• Excellent interpersonal and communication skills and the ability to exhibit patience. Good math and analytical skills. (Preferred proficiency)
• Knowledge of medical terminology. (Preferred proficiency)

• At time of registration, identifies information required and obtains that information. Based upon that information, determines the type of financial education and required forms for that patient. (Medicare ABN, Blue Cross Limited Waiver or Financial Obligation.)
• Collects/updates the comprehensive data set at the time of scheduling, validating patient information and determines in or out of network insurance status.
• Completes missing data from the comprehensive data set and validates information with patient prior to or upon patient arrival for service.
• Identifies insurance sources, collects and documents detailed and accurate insurance information in a timely manner. Identifies managed care provisions and follows up with appropriate parties to resolve outstanding issues.
• Obtains patient estimated charges when appropriate and calculates patient liabilities for requested services. Negotiates financial resolution through proper sequencing of resolution options and patient's ability/willingness to pay. Identify financial assistance screening (HAP) when applicable.
• Collates all information and paperwork, including face sheets, pre-authorizations, referrals, Medicare ABN and others in preparation for patient's arrival and determines patient arrival status (express verses regular processing).
• Explain patient information (i.e., advanced directives, patient bill of rights, treatment consents, release of information,), identify and obtain proper signatures.
• Determine and explain financial impact to patient of the Medicare ABN, Blue Cross Financial Waiver, Financial Obligation and others.
• Screen registrations for sensitive diagnosis and obtain special release according to established hospital policy.
• Applies advanced technical billing knowledge to track and resolve pre-service/service data edits. Clears all applicable comprehensive data bill edits in system.
• Notifies case manager of pre-authorization requirements. Properly utilizes resources when scheduling to reduce waste and maximize productivity.
• Remind patients to bring required information, referral forms, co-pays and deductibles, etc. at the time of service.
• Consistently uses diplomacy and respect both in person and when using the telephone, and performs effectively and professionally under stressful conditions.
• Exhibits a professional and pleasant demeanor when communicating with all customers and anticipates the patient's need for clarification or additional information for their successful hospital visit.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

Hybrid

Scope

• No Supervisory Responsibility
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Occasionally 1-3 Hours
• Carrying: Occasionally 1-3 Hours
• Climbing (Ladders): Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Crawling: Rarely less than 1 hour
• Crouching: