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

Stormont-Vail-Health-; Topeka (KS); On-site; USD 42,000 - 62,000; Full time

Job summary

Stormont Vail Health in Topeka, KS seeks a patient financial services specialist to manage accounts from scheduling through pre-bill editing.

You will verify insurance, collect data, determine patient liabilities, and arrange payments or financial assistance per policy.

This non-exempt, full-time role requires attention to detail, strong math skills, and compassionate communication with patients.

Qualifications

• High School Diploma or GED required.
• Associate degree preferred.
• 2 years experience in patient financial services or similar setting.
• Excellent interpersonal and communication skills.
• Typing speed of 30 WPM.

Responsibilities

• Identify information required at registration and obtain it.
• Collect and validate the comprehensive data set at scheduling.
• Verify insurance and insurance pre-certification.
• Calculate patient liabilities and negotiate financial resolutions.
• Explain financial responsibilities and obtain signatures.
• Prepare documents for patient arrival and track pre-service edits.
• Follow policies and comply with regulations.

Skills

MS Windows

Typing 30 WPM

Interpersonal skills

Math & analytics

Medical terminology

Education

High School Diploma/GED

Associate degree preferred

Tools

MS Office

Job description

Position Status:Full timeShift:First Shift (Days - Less than 12 hours per shift) (United States of America)Hours per week:40Job InformationExemption Status: Non-ExemptA Brief OverviewUnder 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.Education QualificationsHigh School Diploma / GED RequiredAssociate's Degree PreferredExperience Qualifications2 years Experience in a clinical healthcare position related to patient financial services, registration or scheduling. RequiredSkills and AbilitiesKnowledge 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)What you will doAt 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 JobsComplies with all policies, standards, mandatory training and requirements of Stormont Vail HealthPerforms other duties as assignedPatient Facing OptionsPosition is Not Patient FacingRemote Work GuidelinesWorkspace 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 CapabilityHybridScopeNo Supervisory ResponsibilityNo Budget Responsibility No Budget ResponsibilityPhysical DemandsBalancing: Occasionally 1-3 HoursCarrying: Occasionally 1-3 HoursClimbing (Ladders): Rarely less than 1 hourClimbing (Stairs): Rarely less than 1 hourCrawling: Rarely less than 1 hourCrouching: Rarely less than 1 hourDriving (Automatic): Rarely less than 1 hourDriving (Standard): Rarely less than 1 hourEye/Hand/Foot Coordination: Frequently 3-5 HoursFeeling: Occasionally 1-3 HoursGrasping (Fine Motor): Frequently 3-5 HoursGrasping (Gross Hand): Occasionally 1-3 HoursHandling: Occasionally 1-3 HoursHearing: Occasionally 1-3 HoursKneeling: Occasionally 1-3 HoursLifting: Occasionally 1-3 Hours up to 50 lbsOperate Foot Controls: Rarely less than 1 hourPulling: Occasionally 1-3 Hours up to 25 lbsPushing: Occasionally 1-3 Hours up to 25 lbsReaching (Forward): Occasionally 1-3 Hours up to 25 lbsReaching (Overhead): Occasionally 1-3 Hours up to 25 lbsRepetitive Motions: Frequently 3-5 HoursSitting: Frequently 3-5 HoursStanding: Frequently 3-5 HoursStooping: Frequently 3-5 HoursTalking: Frequently 3-5 HoursWalking: Frequently 3-5 HoursWorking ConditionsBurn: Rarely less than 1 hourChemical: Rarely less than 1 hourCombative Patients: Occasionally 1-3 HoursDusts: Rarely less than 1 hourElectrical: Rarely less than 1 hourExplosive: Rarely less than 1 hourExtreme Temperatures: Rarely less than 1 hourInfectious Diseases: Occasionally 1-3 HoursMechanical: Rarely less than 1 hourNeedle Stick: Rarely less than 1 hourNoise/Sounds: Occasionally 1-3 HoursOther Atmospheric Conditions: Rarely less than 1 hourPoor Ventilation, Fumes and/or Gases: Rarely less than 1 hourRadiant Energy: Rarely less than 1 hourRisk of Exposure to Blood and Body Fluids: Rarely less than 1 hourRisk of Exposure to Hazardous Drugs: Rarely less than 1 hourHazards (other): Rarely less than 1 hourVibration: Rarely less than 1 hourWet and/or Humid: Rarely less than 1 hourStormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.